DR. CONSTANTINOS KINTIROGLOU M.D. NPI 1205966124

NPI Information

  • NPI: 1205966124
  • Provider Name: DR. CONSTANTINOS KINTIROGLOU, M.D.
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1500 PLEASANT VALLEY WAY
    STE 306
    WEST ORANGE, NJ
    ZIP 07052
  • Phone: (973) 243-0002

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NPI Details

DR. Constantinos Kintiroglou, M.D. is an adolescent medicine pediatrics in West Orange, NJ. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Constantinos Kintiroglou, M.D. NPI is 1205966124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 PLEASANT VALLEY WAY
STE 306
WEST ORANGE, NJ
ZIP 07052-956
Phone: (973) 243-0002
Fax: (973) 243-1227

The NPI 1205966124 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 3/7/2007 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent MedicineMA03124000NEW JERSEYYes

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: 11/21/2025

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