Simon G. Kokkinakis, M.D., PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

231835 Issued in NY

Legal business name

SIMON G. KOKKINAKIS, M.D., PLLC

Practice address

2066 Richmond Ave
Suite 1R
Staten Island, NY 10314-3916

Phone

(718) 477-9000

Fax

(718) 477-9012

NPI assigned

Mar 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Simon George Kokkinakis, M.D.

Title

Member/Operating Manager

Phone

(718) 477-9000

Specialties & licenses 1

Addresses

Other names 1

• Premier Ob/Gyn Doing business as

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1972929362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2066 RICHMOND AVE",
            "address_2": "SUITE 1R",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143916",
            "telephone_number": "718-477-9000",
            "fax_number": "718-477-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2066 RICHMOND AVE",
            "address_2": "SUITE 1R",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143916",
            "telephone_number": "718-477-9000",
            "fax_number": "718-477-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON G. KOKKINAKIS, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "KOKKINAKIS",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "MEMBER/OPERATING MANAGER",
        "authorized_official_telephone_number": "718-477-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "231835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Ob/Gyn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Simmons
• Queen Monique Simmons
• Silvana Michelle Simmons, MPA
• Jessalyn Jade Simo, PA-C
• Anabela Simoes, L.C.S.W.
• Emily Simon, NP
• Farrah Simon
• Roy Simon
• Carolyn Simone, LCSW
• Deanna Marie Simone, RN

• Obstetrics & Gynecology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.