Action Medical PC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

257261 Issued in NY

Legal business name

ACTION MEDICAL PC

Practice address

8 Technology Dr
Suite 104
East Setauket, NY 11733-3327

Phone

(631) 689-8662

Fax

(631) 689-5916

NPI assigned

Jul 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Dimos Kanakoudas, M.D.

Title

President

Phone

(631) 689-8662

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1790191427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TECHNOLOGY DR",
            "address_2": "SUITE 104",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333327",
            "telephone_number": "631-689-8662",
            "fax_number": "631-689-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 TECHNOLOGY DR",
            "address_2": "SUITE 104",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333327",
            "telephone_number": "631-689-8662",
            "fax_number": "631-689-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "KANAKOUDAS",
        "authorized_official_first_name": "DIMOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-689-8662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "257261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Aaron
• Mersema Tesfaye Abate, MD
• Richard Abraham, PA-C
• Enas Abuhadba, FNP-BC
• Action Medical and Rehab PC
• Hilton C Adler, MD.
• Howard Adler, M.D.
• Advanced Sports Physical Therapy, PC
• Advantage Interventions LLC
• Cynthia Lynn Agals, LCSW

• Sports Medicine (Family Medicine) Physician in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Sports Medicine (Family Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.