Organization Active NPI

Forest Hills Urology Surgery Services P.C.

  • Urology Physician
  • Forest Hills, NY
National Provider Identifier
1700286929
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
FOREST HILLS UROLOGY SURGERY SERVICES P.C.
Practice address
6902 Austin St Ste 3
Forest Hills, NY 11375-4250
Phone
(718) 544-4443
NPI assigned
Aug 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Dr. Dimitri Kessaris, M.D.
Title
President
Phone
(718) 544-4443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

6902 Austin St Ste 3
Forest Hills, NY 11375-4250

Mailing address

6902 Austin St Ste 3
Forest Hills, NY 11375-4250
Phone (718) 544-4443

National Provider Directory

National Provider Directory

Locations

6902 Austin St
Ste 3
Forest Hills, NY 11375
Phone (718) 544-4443

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1700286929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6902 AUSTIN ST STE 3",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754250",
            "telephone_number": "718-544-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6902 AUSTIN ST STE 3",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754250",
            "telephone_number": "718-544-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HILLS UROLOGY SURGERY SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "KESSARIS",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-544-4443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.