Active NPI
Sotirios T Keros
- Clinical Neurophysiology Physician
- New York, NY
National Provider Identifier
1881077055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- 252777-1
- Legal business name
- SOTIRIOS T KEROS
- Practice address
- 425 E 63Rd St
Apt. E12F
New York, NY 10065-7804 - Phone
- (646) 930-4738
- NPI assigned
- Jul 7, 2015
- 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. Sotirios Tony Keros, M.D.
- Title
- Owner
- Phone
- (646) 930-4738
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | 252777-1 | NY | Primary |
| EEG Specialist/Technologist | 246ZE0500X | 252777-1 | NY |
Addresses
Primary practice location
425 E 63Rd St
Apt. E12F
New York, NY 10065-7804
Mailing address
425 E 63Rd St
Apt. E12F
New York, NY 10065-7804
Phone (646) 930-4738
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436227200000",
"number": "1881077055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 E 63RD ST",
"address_2": "APT. E12F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657804",
"telephone_number": "646-930-4738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 E 63RD ST",
"address_2": "APT. E12F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657804",
"telephone_number": "646-930-4738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOTIRIOS T KEROS",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-07",
"last_updated": "2015-07-07",
"status": "A",
"authorized_official_last_name": "KEROS",
"authorized_official_first_name": "SOTIRIOS",
"authorized_official_middle_name": "TONY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-930-4738",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "NY",
"license": "252777-1",
"primary": true
},
{
"code": "246ZE0500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, EEG",
"state": "NY",
"license": "252777-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.