Organization Active NPI

Complete Cardiovascular Care PC

  • Legal Medicine
  • Brooklyn, NY
National Provider Identifier
1639344609
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
COMPLETE CARDIOVASCULAR CARE PC
Practice address
7803 4TH Ave
Brooklyn, NY 11209-3701
Phone
(718) 491-4949
Fax
(718) 491-4929
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Dr. Spyros P Kokolis, MD
Title
Executive
Phone
(718) 491-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

7803 4TH Ave
Brooklyn, NY 11209-3701

Mailing address

7803 4TH Ave
Brooklyn, NY 11209-3701
Phone (718) 491-4949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100423000897 NY Part B Supplier - Clinic/Group Practice 4688701550 Receives reassigned benefits from 4 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

7803 4th Ave
Brooklyn, NY 11209
Phone (718) 491-4949

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIACDA

Practitioners & affiliated clinicians

Practitioners 5

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": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1639344609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7803 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093701",
            "telephone_number": "718-491-4949",
            "fax_number": "718-491-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7803 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093701",
            "telephone_number": "718-491-4949",
            "fax_number": "718-491-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARDIOVASCULAR CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "KOKOLIS",
        "authorized_official_first_name": "SPYROS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "718-491-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.