Individual provider Active NPI

Maria Karounos, D.D.S

  • Dentist
  • Bronx, NY
National Provider Identifier
1720202708
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
043342 Issued in NY
Practice address
2809 Middletown Rd
Bronx, NY 10461-5302
Phone
(718) 597-8800
Fax
(718) 792-6978
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 043342 NY Primary

Addresses

Primary practice location

2809 Middletown Rd
Bronx, NY 10461-5302

Mailing address

2809 Middletown Rd
Bronx, NY 10461-5302
Phone (718) 597-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151231000419 NY Order and Referring Only - DentistPractitioner - Dentist 1759683154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043342NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720202708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 MIDDLETOWN RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615302",
            "telephone_number": "718-597-8800",
            "fax_number": "718-792-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 MIDDLETOWN RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615302",
            "telephone_number": "718-597-8800",
            "fax_number": "718-792-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAROUNOS",
        "first_name": "MARIA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "043342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.