Active NPI
Basil Kakis
- Clinic/Center
- Rockville Centre, NY
National Provider Identifier
1649908773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Practice address
- 60 Maple Ave
Rockville Centre, NY 11570-4225 - Phone
- (516) 770-2574
- NPI assigned
- Aug 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Speech/Language/Hearing Specialist/Technologist | 235500000X |
Addresses
Primary practice location
60 Maple Ave
Rockville Centre, NY 11570-4225
Mailing address
132 Raymond St
Rockville Centre, NY 11570-2541
Phone (516) 670-7317
Other practice location 1
548 Lakeview Ave
Rockville Centre, NY 11570-3223
Phone (516) 770-2574
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bill@optimumlocal.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1649908773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 RAYMOND ST",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115702541",
"telephone_number": "516-670-7317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 MAPLE AVE",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115704225",
"telephone_number": "516-770-2574"
}
],
"practiceLocations": [
{
"address_1": "548 Lakeview Ave",
"address_purpose": "LOCATION",
"city": "Rockville Centre",
"state": "NY",
"postal_code": "115703223",
"country_code": "US",
"telephone_number": "516-770-2574",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAKIS",
"first_name": "BASIL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-08",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "235500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bill@optimumlocal.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "548 Lakeview Ave",
"city": "Rockville Centre",
"state": "NY",
"country_code": "US",
"postal_code": "115703223",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.