Konstantine Skyler Karatzas, MD, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37AC00847800 Issued in NJ

Practice address

131 Delaware St
Woodbury, NJ 08096-5964

Phone

(856) 693-5775

NPI assigned

Jan 24, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Family Therapy and Consultation Services

  • Community/Behavioral Health Agency
  • Woodbury, NJ
  • NPI 1730239450
  NPD

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1891507976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LUPTON AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080965901",
            "telephone_number": "856-693-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 DELAWARE ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080965964",
            "telephone_number": "856-693-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARATZAS",
        "first_name": "KONSTANTINE",
        "middle_name": "SKYLER",
        "credential": "MD, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00847800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Jones, LAC
• Joseph B. McDivitt (Schoolhouse Physical Therapy)
• Joseph J Fallon Jr MD PA
• Ayesha Joseph
• Kaizen Foundation, LLC
• Ravneet Kaur, APN
• Stacy Kelly
• Kelsch Associates Inc. New Jersey
• Kelsch Associates Inc. New Jersey
• Kelsch at Woodbury Ats

• Counselor in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.