Montauk Medical Testing Services PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

MONTAUK MEDICAL TESTING SERVICES PC

Practice address

1717 Veterans Memorial Hwy Ste 2
Islandia, NY 11749-1532

Phone

(631) 400-3999

NPI assigned

Mar 22, 2021

Organization subpart

No

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

Authorized official

Name

George Kakoulides, MDNPI 1417154733

Title

Owner

Phone

(631) 400-3999

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Kakoulides, MD

  • Neurological Surgery Physician
  • West Islip, NY
  • NPI 1417154733
  NPD Authorized official

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1770169468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 VETERANS MEMORIAL HWY STE 2",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491532",
            "telephone_number": "631-828-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 VETERANS MEMORIAL HWY STE 2",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491532",
            "telephone_number": "631-400-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTAUK MEDICAL TESTING SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "KAKOULIDES",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-400-3999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid-Suffolk Chiropractic P.C.
• Mid-Suffolk Pediatric Associates, P.C.
• Constantina Miller, PSY.D.
• Martin Miller, DC
• Julie Modavis, LCSW
• Ana Eulalia Morales
• Jessica Morales
• Emily Moss, PA-C
• Christie Mulligan, EDM
• Anna Marie Mulvey, BCBA

• Interventional Pain Medicine Physician in Islandia, NY
• Providers in Islandia, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.