George S Constantinopoulos, MD, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GEORGE S CONSTANTINOPOULOS, MD, LLC

Doing business as

Coastal Center for Advanced Surgery

Practice address

279 3Rd Ave
Suite 407
Long Branch, NJ 07740-6205

Phone

(732) 229-8486

NPI assigned

Mar 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George S Constantinopoulos, MDNPI 1588739742

Title

President

Phone

(732) 229-8486

Specialties & licenses 1

Addresses

Other names 1

• Coastal Center for Advanced Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George S Constantinopoulos, MD

  • Surgery Physician
  • Long Branch, NJ
  • NPI 1588739742
  Medicare reassignment NPD Authorized official
• Ernest Michael Ginalis, M.D.

  • Surgery Physician
  • Ocean, NJ
  • NPI 1629151048
  Medicare reassignment NPD

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730211202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 3RD AVE",
            "address_2": "SUITE 407",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 3RD AVE",
            "address_2": "SUITE 407",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406205",
            "telephone_number": "732-229-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE S CONSTANTINOPOULOS, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONSTANTINOPOULOS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-229-8486",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Center for Advanced Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Dawn Gastan, CRNP
• George E Gdovin, PHARMD
• Matthew Al Geller, MD
• Mary Casciano Geneve
• Selena Gentile, LCSW
• Raghav Gera, MD
• Hafiz Abdul Ghaffar, MD
• Sara Ghotb, M.D.
• Joseph Paul Giacomo
• Hashim F Gibril, DDS

• Surgery Physician in Long Branch, NJ
• Providers in Long Branch, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.