Active NPI
Christos A. Koutentis, MD
- Anesthesiology Physician
- Passaic, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA08011500
- Practice address
- 350 Boulevard
Passaic, NJ 07055-2840 - Phone
- (973) 779-7361
- Fax
- (973) 779-7385
- NPI assigned
- Mar 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME92701 | FL | |
| Anesthesiology Physician | 207L00000X | 25MA08011500 | NJ | Primary |
Addresses
Primary practice location
350 Boulevard
Passaic, NJ 07055-2840
Mailing address
PO Box 1258
Clifton, NJ 07012-0758
Phone (973) 779-7361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Anesthesiology | Current | Accepting new patients |
| New York University | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| New York University | Anesthesiology | Current | Accepting new patients |
| Wine Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Interfaith Professional Physician Services, P.C. | Anesthesiology | Current | Accepting new patients |
| PRS Endoscopy Associates LLC | Anesthesiology | Current | Accepting new patients |
| PPG Anesthesia, PLLC | Anesthesiology | Current | Accepting new patients |
| Noam Kurtis MD PC | Anesthesiology | Current | Accepting new patients |
| Sedation Vacation Perioperative Medicine PLLC | Current | Accepting new patients | |
| Seaview Medical Group, PC | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313
1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
70 Glen St
Ste 106
Glen Cove, NY 11542
Phone (516) 759-5330
340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064
1991 Marcus Ave
Ste 101
New Hyde Park, NY 11042
Phone (516) 365-3394
1041 3rd Ave
Ofc Of
New York, NY 10065
Phone (212) 362-3470
10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600
129 Slosson Ave
Staten Island, NY 10314
Phone (718) 720-5928
2454 Hylan Blvd
Staten Island, NY 10306
Phone (718) 233-1300
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
100 Corporate Dr
Ste 100
Yonkers, NY 10701
Phone (914) 378-6148
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 13
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.
-
dba OBH Physician Associates
- Surgery Physician
- Brooklyn, NY
- NPI 1457643991
Anesthesiology
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
Anesthesiology, NY
-
- Anesthesiology Physician
- Staten Island, NY
- NPI 1740430727
-
- Gastroenterology Physician
- Staten Island, NY
- NPI 1487953600
Anesthesiology
-
- Specialist
- Valley Stream, NY
- NPI 1891235404
-
- Anesthesiology Physician
- Staten Island, NY
- NPI 1407984255
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1528160421
-
- Anesthesiology Physician
- Astoria, NY
- NPI 1346557964
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Anesthesiology Physician
- New York, NY
- NPI 1881949055
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1346380870
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1356307656
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1487724712
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1639756406
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952379265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1258",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070120758",
"telephone_number": "973-779-7361",
"fax_number": "973-779-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 BOULEVARD",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070552840",
"telephone_number": "973-779-7361",
"fax_number": "973-779-7385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUTENTIS",
"first_name": "CHRISTOS",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME92701",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA08011500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Passaic, NJ
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.