Keith Kouroupos (NPI# 1245306174, PAC ID# 8022112002) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1245306174 |
| PAC ID by PECOS | 8022112002 |
| Professional Enrollment ID | I20091117000301 |
| Full Name | Keith Kouroupos |
| Organization Legal Name | NORTH SHORE-LIJ MEDICAL PC |
| Address |
501 Seaview Ave Staten Island NY 10305-3400 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3375701568 |
| Number of Group Practice Members | 3620 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330160 | STATEN ISLAND UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 300 Community Dr, Manhasset, NY 11030-3816 | NORTH SHORE-LIJ MEDICAL PC | |
| 300 Community Dr Ll, Manhasset, NY 11030-3816 | 5165622229 | NORTH SHORE-LIJ MEDICAL PC |
| 330 Community Dr, Manhasset, NY 11030-3816 | 5167082550 | NORTH SHORE-LIJ MEDICAL PC |
| 350 Community Dr, Manhasset, NY 11030-3816 | 5165623845 | NORTH SHORE-LIJ MEDICAL PC |
| 1110 S Ave, Staten Island, NY 10314-3403 | 7182264645 | NORTH SHORE-LIJ MEDICAL PC |
| 501 Seaview Ave, Staten Island, NY 10305-3400 | NORTH SHORE-LIJ MEDICAL PC |
| Organization Legal Name | NORTH SHORE-LIJ MEDICAL PC |
| Physicians | 3634 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Elizabeth Coletto | Nurse Practitioner | North Shore-lij Medical PC | 1350 Northern Blvd, Suite 202, Manhasset, NY 11030-3013 |
| Grace E Berlin | Rheumatology | North Shore-lij Medical PC | 1551 Richmond Rd, Suite 1a, Staten Island, NY 10304-2338 |
| Wai C Man | Hospitalist | North Shore-lij Medical PC | 101 Saint Andrews Ln, Suite 1, Glen Cove, NY 11542-2254 |
| Calley Hannah Salomon Levine | Gastroenterology | North Shore-lij Medical PC | 600 Northern Boulevard, Suite 111, Great Neck, NY 11021-5200 |
| Glenn Joseph Forrester | General Surgery | North Shore-lij Medical PC | 777 N Broadway, Sleepy Hollow, NY 10591-1000 |
| Nehal Shukla | Family Medicine | North Shore-lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| Pooja R Shah | Dermatology | North Shore-lij Medical PC | 1991 Marcus Ave, Suite 302, New Hyde Park, NY 11042-2058 |
| Ayesha T Ali | Infectious Disease | North Shore-lij Medical PC | 500 W Main St, Babylon, NY 11702-3027 |
| Henny Liwan | Obstetrics/gynecology | North Shore-lij Medical PC | 404 Potter Blvd, Brightwaters, NY 11718-1830 |
| Perumal Thiyagarajan | Hospitalist | North Shore-lij Medical PC | 221 Jericho Turnpike, Syosset, NY 11791-4515 |
| Street Address |
501 SEAVIEW AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip | 10305-3400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas M Kilkenny | Pulmonary Disease | Staten Island Pulmonary Assoc PC | 501 Seaview Ave, Suite 102, Staten Island, NY 10305-3400 |
| Roman Royzman | Interventional Cardiology | North Shore-lij Medical PC | 501 Seaview Ave, Staten Island, NY 10305-3400 |
| James C Lafferty | Cardiac Electrophysiology | North Shore-lij Medical PC | 501 Seaview Ave, Staten Island, NY 10305-3400 |
| Theodore James Maniatis | Pulmonary Disease | North Shore-lij Medical PC | 501 Seaview Ave, Staten Island, NY 10305-3400 |
| Edward H Yu | Neurology | North Shore-lij Medical PC | 501 Seaview Ave, Staten Island, NY 10305-3400 |
| Asaf A Gave | General Surgery | North Shore-lij Medical PC | 501 Seaview Ave, Staten Island, NY 10305-3400 |
| Elaina Caporale | Physician Assistant | North Shore-lij Medical PC | 501 Seaview Ave, Staten Island, NY 10305-3400 |
| Rama K Reddy | Cardiovascular Disease (cardiology) | North Shore-lij Medical PC | 501 Seaview Ave, Staten Island, NY 10305-3400 |
| Michel Chalhoub | Pulmonary Disease | Staten Island Pulmonary Assoc PC | 501 Seaview Ave, Suite 102, Staten Island, NY 10305-3400 |
| Kimlyn C Long | Plastic and Reconstructive Surgery | North Shore-lij Medical PC | 501 Seaview Ave, Staten Island, NY 10305-3400 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor Dc Dolan | Chiropractic | 121 Prakinson Ave S, Staten Island, NY 10305 | |
| Michelle Zhubrak | Podiatry | 175 Zoe St, 3m, Staten Island, NY 10305-1129 | |
| Charles G Bernstein | Dermatology | 244 Buel Ave, Fl 2, Staten Island, NY 10305-1204 | |
| John Zafaranloo | Internal Medicine | 235 Dongan Hills Ave, Suite 2a, Staten Island, NY 10305-1224 | |
| Wojciech Skrzypiec | Critical Care (intensivists) | 235 Dongan Hills Ave, 2e, Staten Island, NY 10305-1224 | |
| Suying L Song | Neurology | 212 Garretson Ave, Staten Island, NY 10305-1234 | |
| Antoinette Cavalenes Joyce | Clinical Social Worker | 290 Garreston Ave, Staten Island, NY 10305-1236 | |
| Frank Raimondo | Clinical Social Worker | 290 Garretson Ave, Suite 2, Staten Island, NY 10305-1236 | |
| Julia S Tapley | Clinical Social Worker | 290 Garretson Ave, Apt 2, Staten Island, NY 10305-1269 | |
| Saverio Acquafredda | Internal Medicine | 212 Cromwell Ave, Staten Island, NY 10305-1308 | |
| Find all physicians in zip 10305 | |||
| City | STATEN ISLAND |
| Zip Code | 10305 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | STATEN ISLAND + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Keith Kouroupos.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.