Organization Active NPI

Sotirios T Keros

  • Clinical Neurophysiology Physician
  • New York, NY
National Provider Identifier
1881077055
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
252777-1 Issued in NY
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

Updated by the provider on Jul 7, 2015

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)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0600X 252777-1 NY Primary
EEG Specialist/TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.