DR. CONSTANTINOS KINTIROGLOU M.D.
NPI 1205966124
Pediatrics - Adolescent Medicine in West Orange, NJ
About Dr. Constantinos Kintiroglou M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CONSTANTINOS KINTIROGLOU M.D. (NPI 1205966124) is an individual adolescent medicine provider in West Orange, New Jersey, licensed in New Jersey (MA03124000) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Constantinos Kintiroglou M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Constantinos Kintiroglou reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Marlton, NJ 08053
- Reassigned Medicare billing, New Jersey enrollment
- 909 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST ORANGE, NJ 07052
WEST ORANGE, NJ 07052
WEST ORANGE, NJ 07052
WEST ORANGE, NJ 07052
WEST ORANGE, NJ 07052
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Constantinos Kintiroglou's NPI number?
The NPI number for Constantinos Kintiroglou is 1205966124. It was assigned to this individual provider in the NPPES registry on March 7, 2007.
Where is Constantinos Kintiroglou located?
Constantinos Kintiroglou practices at 1500 Pleasant Valley Way Ste 306, West Orange, NJ 07052. The listed phone number is (973) 243-0002.
What is Constantinos Kintiroglou's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.
Is Constantinos Kintiroglou enrolled in Medicare?
Yes. Constantinos Kintiroglou is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Constantinos Kintiroglou's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Constantinos Kintiroglou reassigns Medicare benefits to Advocare, LLC (Marlton, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Constantinos Kintiroglou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Constantinos Kintiroglou accept?
Health plans from Oscar Health list Constantinos Kintiroglou as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Constantinos Kintiroglou was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Constantinos Kintiroglou, M.D. · NPI 1205966124
Adolescent Medicine physician in West Orange, New Jersey. Individual provider, active in the CMS NPPES registry since March 7, 2007.
## Identity
- **NPI:** 1205966124 (Entity type: Individual)
- **Enumerated:** March 7, 2007
- **Primary specialty:** Pediatrics - Adolescent Medicine · taxonomy 2080A0000X
- **State license:** MA03124000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 PLEASANT VALLEY WAY, STE 306, West Orange, NJ 07052-2956
- **Phone:** (973) 243-0002 · **Fax:** (973) 243-1227
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Advocare, LLC (NPI 1770538696, Marlton, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1205966124) · Data from the CMS NPPES public registry.