Individual provider Active NPI

Diamantis Kyriakakis, DC

  • Chiropractor
  • Paramus, NJ
National Provider Identifier
1659865210
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00753900 Issued in NJ
Practice address
5 Hamilton CT
Paramus, NJ 07652-1855
Phone
(201) 790-1108
NPI assigned
Jun 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00753900 NJ Primary

Addresses

Primary practice location

5 Hamilton CT
Paramus, NJ 07652-1855

Mailing address

5 Hamilton CT
Paramus, NJ 07652-1855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180705000130 NJ Practitioner - Chiropractic 4688920648 Reassigns benefits to 1 organization
I20240918003510 NY Practitioner - Chiropractic 4688920648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Kayal Orthopaedic, PLLCGroup PAC ID 7911385950, 16 clinicians
Kayal Medical Group, LLCGroup PAC ID 2961894019, 76 clinicians

Practice addresses (Care Compare)

11 Holt Dr
Stony Point, NY 10980-1919
Phone (845) 942-4355

260 Old Hook Rd
Suite 401
Westwood, NJ 07675-3123
Phone (844) 777-0910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013112NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kayal Orthopaedic, PLLC Chiropractor CurrentSince Jun 20, 2024 Accepting new patients
Kayal Medical Group, LLC Chiropractor CurrentSince May 15, 2022 Accepting new patients
Kayal Orthopaedic Center, P.C. PastSince Jun 1, 2020 Accepting new patients

Locations

784 Franklin Ave
Ste 250
Franklin Lks, NJ 07417
Phone (201) 560-0711

266 Harristown Rd
Ste 107
Glen Rock, NJ 07452
Phone (201) 560-0711

266 Harristown Rd
Ste 100
Glen Rock, NJ 07452
Phone (201) 251-7725

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798

185 N Route 17
Ste 101
Paramus, NJ 07652
Phone (201) 560-0711

185 N Route 17
Ste 104
Paramus, NJ 07652

194 Union Blvd
#1
Totowa, NJ 07512

543 45th St
Union City, NJ 07087
Phone (201) 662-5437

260 Old Hook Rd
Ste 401
Westwood, NJ 07675
Phone (201) 560-0711

529 Goffle Rd
Wyckoff, NJ 07481
Phone (201) 652-1010

490 Route 304
New City, NY 10956
Phone (845) 507-0477

11 Holt Dr
Stony Point, NY 10980
Phone (845) 942-4355

Interoperability endpoints

  • Direct secure messaging: diamantis.kyriakakis@ko.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1659865210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HAMILTON CT",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HAMILTON CT",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521855",
            "telephone_number": "201-790-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYRIAKAKIS",
        "first_name": "DIAMANTIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00753900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.