Anthony Kopatsis MD Facs PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

2011611 Issued in NY

Legal business name

ANTHONY KOPATSIS MD FACS PLLC

Practice address

3163 Hylan Blvd
Staten Island, NY 10306-4145

Phone

(718) 667-7009

Fax

(718) 667-7514

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Sheree Roth

Title

Billing Manager

Phone

(732) 608-6639

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1962692863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60039",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103060039",
            "telephone_number": "718-667-7009",
            "fax_number": "718-667-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3163 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064145",
            "telephone_number": "718-667-7009",
            "fax_number": "718-667-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY KOPATSIS MD FACS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "SHEREE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "732-608-6639",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "2011611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01860737",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Anselmo, TEACHER - 174400000X
• Agnieszka Antecka, PT
• Jamie Antenucci, M.A., CCC-SLP
• Kelly P Anthes, MS OTR
• Anthony J Garofalo
• Anthony Yorio Rehabilitation, Inc.
• Jessica Marie Antioco, M.S., CCC-SLP
• Allysia Antoine
• Wayne Antoine, LMSW
• Antoinette Cavalenes Joyce

• Surgery Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.