Constantine G Christolias, DDS DOCTOR OF DENTIS

Primary specialty

DentistTaxonomy code 122300000X

License

22D101307400 Issued in NJ

Practice address

608 Anderson Av
Cliffside Park, NJ 07010

Phone

(201) 941-5800

Fax

(201) 941-6302

NPI assigned

Oct 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• George Dawoud, D.D.S., LLC

  • Dental Clinic/Center
  • Cliffside Park, NJ
  • NPI 1669083572
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851475818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "07010",
            "telephone_number": "201-941-5800",
            "fax_number": "201-941-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 ANDERSON AV",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "07010",
            "telephone_number": "201-941-5800",
            "fax_number": "201-941-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOLIAS",
        "first_name": "CONSTANTINE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS DOCTOR OF DENTIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D101307400",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0356441",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Rose Choi
• Sun Choi, DACM
• Benjamin Chouake, MD
• Jason Chouake, M.D.
• Chris Vecchione PT LLC (Emerge Physical Therapy & Wellness)
• Thomas Chun, MD
• Steven S Chung, L.AC
• Barbara Cirignano, MD
• Cliffside Eye Center L L C
• Cliffside Medical LLC

• Dentist in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.