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DR. CONSTANTINE ANTONY DEMETRACOPOULOS M.D. NPI 1346417805


NPI Information

NPI: 1346417805
Provider Name: DR. CONSTANTINE ANTONY DEMETRACOPOULOS, M.D.
Classification: Orthopaedic Surgery - 207XX0004X
Entity Type: Individual

Specialization: Foot and Ankle Surgery

Organization: NY SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING

PECOS Registration: Yes

Address:
535 E 70TH ST
NEW YORK, NY
ZIP 10021
Phone: (212) 606-1056
Get Directions

DR. Constantine Antony Demetracopoulos, M.D. is a foot and ankle surgery orthopaedic surgery in New York, NY with 17 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. DR. Constantine Antony Demetracopoulos, M.D. NPI is 1346417805. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

535 E 70TH ST
NEW YORK, NY
ZIP 10021-823
Phone: (212) 606-1056
Fax: (212) 606-1246

The NPI 1346417805 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/14/2008 and was last updated on 12/18/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery256723NEW YORKNo
2207XX0004XOrthopaedic SurgeryFoot and Ankle Surgery256723NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103690397MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.