DR. ANTHONY KOPATSIS (NPI# 1063490217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063490217 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY KOPATSIS |
| Credential | MD |
| Practice Address |
3163 Hylan Blvd Staten Island NY 10306-4145 |
| Mailing Address |
Po Box 60039 Staten Island NY 10306-0039 |
| Practice Telephone | 7186677009 |
| Practice Fax Number | 7186677514 |
| Mailing Telephone | 7186677009 |
| Mailing Fax Number | 7186677514 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2013-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 2011611 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | ELDER PLAN | 166717 | 01 |
| NY | HEALTH FIRST | 201161E11 | 01 |
| NY | PHS | 3C7017 | 01 |
| NY | AMERICHOICE | BK0226607 | 01 |
| NY | 01860734 | 05 | |
| NY | GHI HMO | 90588 | 01 |
| NY | GHI | 9759204 | 01 |
| NY | OXFORD | P3568917 | 01 |
| NY | HIP | 2011611 | 01 |
| NY | AETNA | 3773644 | 01 |
| NY | RAILROAD MEDICARE | P00220301 | 01 |
| NY | UNITED HEALTHCARE MEDICAR | 1700922 | 01 |
| Street Address |
3163 HYLAN BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10306-4145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962692863 | Anthony Kopatsis Md Facs Pllc | Surgery | 3163 Hylan Blvd, Staten Island, NY 10306-4145 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134737372 | Nancy Burns | Counselor | 345 Guyon Ave # 14, Staten Island, NY 10306 | 2020-07-14 |
| 1710537642 | Happy Island Senior Center LLC | Clinic/Center | 555 Greeley Ave, Staten Island, NY 10306 | 2019-09-12 |
| 1215580055 | Keann Pender | Counselor | 345 Guyon Ave Rm 14, Staten Island, NY 10306 | 2019-07-22 |
| 1346751435 | Amanda Nicole Lewis | Speech-Language Pathologist | 465 New Dorp Lane, The Richard H. Hungerford School, Staten Island, NY 10306 | 2017-10-17 |
| 1649793142 | Olympia Services Inc | Radiology | 1913 Olympia Blvd., Staten Island, NY 10306 | 2017-07-18 |
| 1265961601 | A & S Educational Technology Inc. | Early Intervention Provider Agency | 99 Sydney Pl, Staten Island, NY 10306 | 2017-06-08 |
| 1124489638 | Prospect Kids, LLC | Early Intervention Provider Agency | 21 Kayla Court, Staten Island, NY 10306 | 2016-03-10 |
| 1124498407 | Tatyana Kateva | Registered Nurse | 1975 Hylan Blvd Suite 1, Staten Island, NY 10306 | 2015-09-30 |
| 1336536275 | Natallia Verbitsky | Occupational Therapist | 165 Twombly Ave, Staten Island, NY 10306 | 2015-04-17 |
| 1922491745 | Evan Ross Cohen | Dentist | 1975 Hylan Blvd., Unit #2, Hylan Dental Arts, Staten Island, NY 10306 | 2015-03-18 |
| Find all providers in zip 10306 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871862557 | Radhey Malhotra | Surgery | 41 Birchard Ave, Staten Island, NY 10314-4138 | 2011-12-24 |
| 1922393495 | Sara Kim | Surgery | 256 Mason Ave Bldg B2nd, Staten Island, NY 10305-3408 | 2011-06-13 |
| 1972833887 | Joseph D Fulco | Surgery | 971 Sinclair Ave, Staten Island, NY 10309-2230 | 2009-12-29 |
| 1558690859 | Aroch Medical PC | Surgery | 1112 South Ave, Staten Island, NY 10314-3410 | 2009-12-15 |
| 1093974271 | Kenneth Michael Testa | Surgery | 124 Mcclean Ave, Staten Island, NY 10305-4614 | 2008-06-03 |
| 1710162193 | Igor Brichkov | Surgery | 264 Greencroft Ave, Staten Island, NY 10308-3247 | 2008-01-04 |
| 1700073954 | Mensur E Klobocista | Surgery | 220 Victory Blvd, Staten Island, NY 10301-2919 | 2007-10-02 |
| 1033324843 | Ireneo Valdes Albano | Surgery | 188 Ocean Ter, Staten Island, NY 10301-4514 | 2007-05-14 |
| 1508931742 | George Kuczabski | Surgery | 2131 Richmond Rd, Staten Island, NY 10306-2574 | 2006-11-22 |
| 1184795569 | Karen E Gibbs | Surgery | 256 Mason Avenue, Bldg B, United Medical Surgical, PC, Staten Island, NY 10305 | 2006-11-10 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10306 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.