KONSTANTINOS DAMIRIS DO
NPI 1366901183
Student in an Organized Health Care Education/Training Program in Newark, NJ

Q: What is Konstantinos Damiris's NPI number?

The NPI number for Konstantinos Damiris is 1366901183. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Q: What is Konstantinos Damiris's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment

150 BERGEN ST, NEWARK, NJ 07103(516) 236-1620 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Konstantinos Damiris Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KONSTANTINOS DAMIRIS DO (NPI 1366901183) is an individual student in an organized health care education/training program in Newark, New Jersey and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2019).

NPPES Registry Identity

NPI1366901183

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKONSTANTINOS DAMIRISCredential: DO

Location Address150 BERGEN STNewark, NJ 07103-2496

Mailing Address3 Warwick BlvdIsland Park, NY 11558-1801 · (516) 236-1620

Phone(516) 236-1620

Sole ProprietorNo

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2019

Enumeration DateMarch 19, 2019

✔ NPI 1366901183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

150 BERGEN ST, Newark, NJ 07103

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Konstantinos Damiris Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254712896

PECOS Enrollment IDI20250724000257

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geisinger Medical Center

Acute Care Hospitals · Danville, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390006

Location100 North Academy AvenueDanville, PA 17822 · Montour County

Emergency services Birthing friendly

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.

MR. ARIEL LIPPA, LPC, LCADC, NCC.

Counselor (Professional)