DR. CONSTANTINOS KINTIROGLOU M.D.
NPI 1205966124
Pediatrics - Adolescent Medicine in West Orange, NJ

Active since March 07, 2007PECOS Enrolled
1500 PLEASANT VALLEY WAY, STE 306, WEST ORANGE, NJ 07052(973) 243-0002(973) 243-1227 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1205966124
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. CONSTANTINOS KINTIROGLOUCredential: M.D.
Location Address1500 PLEASANT VALLEY WAY, STE 306West Orange, NJ 07052-2956
Mailing Address357 Walnut StLivingston, NJ 07039-5011 · (973) 740-0548 · Fax (973) 243-1227
Fax(973) 243-1227
Sole ProprietorNo
Enumeration DateMarch 7, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1205966124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in NJ · MA03124000
Definition
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.
1500 PLEASANT VALLEY WAY, West Orange, NJ 07052

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Constantinos Kintiroglou M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Student in an Organized Health Care Education/Training Program
1500 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Orthopaedic Surgery
1500 PLEASANT VALLEY WAY, SUITE 101
WEST ORANGE, NJ 07052
Physical Therapist
1500 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Podiatrist
1500 PLEASANT VALLEY WAY, SUITE 204
WEST ORANGE, NJ 07052
Internal Medicine (Infectious Disease)
1500 PLEASANT VALLEY WAY, SUITE 201
WEST ORANGE, NJ 07052
Physical Therapy Assistant
1500 PLEASANT VALLEY WAY, SUITE 102
WEST ORANGE, NJ 07052
Orthopaedic Surgery
1500 PLEASANT VALLEY WAY, SUITE 101
WEST ORANGE, NJ 07052
Occupational Therapist
1500 PLEASANT VALLEY WAY
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.

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.