Active NPI
Anthony J Kyreakakis, MD
- Cardiovascular Disease Physician
- Hoboken, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MA39279
- Practice address
- 604 Willow Ave
Hoboken, NJ 07030-4175 - Phone
- (201) 659-3311
- Fax
- (201) 795-0924
- NPI assigned
- Aug 10, 2006
- Last updated
- Aug 17, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MA39279 | NJ | Primary |
Addresses
Primary practice location
604 Willow Ave
Hoboken, NJ 07030-4175
Mailing address
604 Willow Avenue
Hoboken, NJ 07030
Phone (201) 659-3311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1387405 | Medicaid | NJ |
Other names 1
- Anthony Kyreakakis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
604 Willow Ave
Hoboken, NJ 07030-4175
Phone (201) 659-3311
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA39279 | NJ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humc Opco LLC | Current | Accepting new patients | |
| Garden State Healthcare Associates, LLC | Cardiovascular Disease | Current | Accepting new patients |
| St. Mary Cardiology Associates | Cardiovascular Disease | Past | Accepting new patients |
Locations
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
Interoperability endpoints
- anthony.kyreakakis@direct.hobokenumc.md
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
Cardiovascular Disease
-
dba Hoboken University Hospital
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
-
- Cardiovascular Disease Physician
- Hoboken, NJ
- NPI 1477690527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hoboken University Hospital
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345161600000",
"number": "1659382349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 WILLOW AVENUE",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "07030",
"telephone_number": "201-659-3311",
"fax_number": "201-795-0924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 WILLOW AVE",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070304175",
"telephone_number": "201-659-3311",
"fax_number": "201-795-0924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYREAKAKIS",
"first_name": "ANTHONY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2012-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "MA39279",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1387405",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANTHONY",
"last_name": "KYREAKAKIS",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.