Active NPI
Health East Medical Services
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Englewood, NJ
National Provider Identifier
1720380512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- HEALTH EAST MEDICAL SERVICES
- Practice address
- 54 South Dean Street
1St Floor
Englewood, NJ 07631 - Phone
- (201) 871-4000
- Fax
- (201) 586-6851
- NPI assigned
- Nov 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher Kyriakides, D.O.,FAAPMR
- Title
- Medical Director
- Phone
- (201) 871-4000
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | Primary | ||
| Body Imaging Physician | 2085B0100X | |||
| Pain Medicine Physician | 208VP0000X |
Addresses
Primary practice location
54 South Dean Street
1St Floor
Englewood, NJ 07631
Mailing address
54 South Dean Street
Englewood, NJ 07631
Phone (201) 871-4000
National Provider Directory
National Provider DirectoryLocations
54 S Dean St
Fl 1
Englewood, NJ 07631
Phone (201) 871-4000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291075200000",
"number": "1720380512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 SOUTH DEAN STREET",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "07631",
"telephone_number": "201-871-4000",
"fax_number": "201-568-6851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 SOUTH DEAN STREET",
"address_2": "1ST FLOOR",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "07631",
"telephone_number": "201-871-4000",
"fax_number": "201-586-6851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH EAST MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-30",
"last_updated": "2010-11-30",
"status": "A",
"authorized_official_last_name": "KYRIAKIDES",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "12018714000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O.,FAAPMR"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085B0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.