Stavroula Theodoratos

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

7616 13TH Ave
Brooklyn, NY 11228-2412

Phone

(718) 630-5100

NPI assigned

Aug 29, 2019

Sex

Female

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Nasira Waters LLC

  • Early Intervention Provider Agency
  • Brooklyn, NY
  • NPI 1497469043
  NPD
• Thursday'S Child, Inc.

  • Behavior Analyst
  • Brooklyn, NY
  • NPI 1063743037
  NPD (past)

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1982252276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 78TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7616 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282412",
            "telephone_number": "718-630-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODORATOS",
        "first_name": "STAVROULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Then
• Monifa Theobalds
• Patricia K Theodat, LPN
• John Theodorakis, RPH
• Teddy Theodorakis, NP
• Theodore Akabuogu
• Cindy Theodore
• Faradja Theodore
• Judy Theodore
• Kadidja Theodore

• All providers in Brooklyn, NY
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.