Individual provider Active NPI

Christos A. Koutentis, MD

  • Anesthesiology Physician
  • Passaic, NJ
National Provider Identifier
1952379265
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA08011500 Issued in NJ
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071221000562 NY Practitioner - Anesthesiology 1850331927 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

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

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Anesthesiology CurrentSince Nov 11, 2022 Accepting new patients
New York University CurrentSince Oct 1, 2018 Accepting new patients
Montefiore Medical Center CurrentSince Nov 11, 2022 Accepting new patients
New York University Anesthesiology CurrentSince Oct 1, 2018 Accepting new patients
Wine Anesthesia, LLC Anesthesiology CurrentSince Feb 1, 2016 Accepting new patients
Interfaith Professional Physician Services, P.C. Anesthesiology CurrentSince Jul 15, 2022 Accepting new patients
PRS Endoscopy Associates LLC Anesthesiology CurrentSince Nov 1, 2016 Accepting new patients
PPG Anesthesia, PLLC Anesthesiology CurrentSince May 1, 2013 Accepting new patients
Noam Kurtis MD PC Anesthesiology CurrentSince Aug 15, 2013 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Jul 15, 2018 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.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.