NPIMap

Organization Active NPI

Medical Practice Associates PLLC

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1629157516
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDICAL PRACTICE ASSOCIATES PLLC
Practice address
235 Dongan Hills Avenue
Suite 2E
Staten Island, NY 10305
Phone
(718) 667-7756
Fax
(718) 667-7757
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paul Kitsis, MDNPI 1467436303
Title
Co-Owner
Phone
(718) 667-7756

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X NY

Addresses

Primary practice location

235 Dongan Hills Avenue
Suite 2E
Staten Island, NY 10305

Mailing address

235 Dongan Hills Ave
Suite 2E
Staten Island, NY 10305
Phone (718) 667-7756

Other identifiers 1

IdentifierTypeStateIssuer
02843396MedicaidNY

National Provider Directory

National Provider Directory

Locations

235 Dongan Hills Ave
Ste 2E
Staten Island, NY 10305
Phone (718) 351-6203

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1629157516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 DONGAN HILLS AVE",
            "address_2": "SUITE 2E",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-667-7756",
            "fax_number": "718-667-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 DONGAN HILLS AVENUE",
            "address_2": "SUITE 2E",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-667-7756",
            "fax_number": "718-667-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PRACTICE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "KITSIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "718-667-7756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02843396",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.