Dr. John Kassotis
Internal Medicine (Cardiovascular Disease)

Address: 450 Clarkson Ave, 2nd Fl. Rm# A2-393, Brooklyn, NY 11203-2056
Phone: 7182701081

Dr. John Kassotis (NPI# 1598759003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1598759003
Entity Type Individual
Full Name Dr. John Kassotis
Credential M.D.
Gender Male
Practice Address 450 Clarkson Ave
2nd Fl. Rm# A2-393
Brooklyn
NY 11203-2056
Practice Telephone 7182701081
Practice Fax Number 7182702917
Mailing Address 450 Clarkson Ave
Box 1262
Brooklyn
NY 11203-2056
Mailing Telephone 7182708867
Mailing Fax Number 7182701794
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-09-12
Last Update Date 2014-10-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RC0000X Internal Medicine · Cardiovascular Disease Allopathic & Osteopathic Physicians 187961-1 NY

Other Provider Identifier

State Identifier Issuer Type Code
NY 01755384 MEDICAID

Physician Overview

NPI 1598759003
PAC ID by PECOS 4284604141
Professional Enrollment ID I20170905000385
Full Name John Kassotis
Organization Legal Name RUTGERS HEALTH-RWJ ELECTROPHYSIOLOGY
Phone Number 7328283000
Gender M
Credential MD
Medical School COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year 1990
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Group Practice PAC ID 0244277937
Number of Group Practice Members 5
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310038 ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL
310108 JFK MEDICAL CENTER
310111 CENTRASTATE MEDICAL CENTER

Office Location

Street Address 450 CLARKSON AVE
2ND FL. RM# A2-393
City BROOKLYN
State NY
Zip Code 11203-2056

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700888013 David Landman Internal Medicine 450 Clarkson Ave, Brooklyn, NY 11203-2056 2005-06-01
1255899787 Meredith Warshaw Dietitian, Registered 450 Clarkson Ave, Brooklyn, NY 11203-2012 2019-03-04
1063970598 Zara Awan Dietitian, Registered 450 Clarkson Ave, Brooklyn, NY 11203-2012 2019-03-04
1174094353 Jhavon Kornegay Social Worker 450 Clarkson Ave, Brooklyn, NY 11203-2012 2018-12-16
1295206753 Azens Care LLC Occupational Therapist 450 Clarkson Ave, Brooklyn, NY 11203-2012 2018-12-10
1295205722 John Wray Dietitian, Registered 450 Clarkson Ave, Brooklyn, NY 11203-2012 2018-11-27
1417439290 Ahmed Badran Student in an Organized Health Care Education/Training Program 450 Clarkson Ave, Brooklyn, NY 11203-2012 2018-08-29
1568942605 Ghassan Mustafa Student in an Organized Health Care Education/Training Program 450 Clarkson Ave, Brooklyn, NY 11203-2098 2018-08-17
1124507850 Amjad Halloum Student in an Organized Health Care Education/Training Program 450 Clarkson Ave, Brooklyn, NY 11203-2012 2018-08-13
1659850725 Shirley Sarah Weisz Physician Assistant 450 Clarkson Ave, Brooklyn, NY 11203-2012 2018-08-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437616323 Melody Yao Student in an Organized Health Care Education/Training Program 585 Schenctady Ave, Kingsbrook Jewish Medical Center, Dental Dept, Brooklyn, NY 11203 2019-02-27
1245706704 Tiara Simon Physician Assistant 450 Clarkson Ave -dept. of Surgery, Brooklyn, NY 11203 2018-10-22
1114401585 Victoria D'ambrose Social Worker 470 Clarkson Avenue, Suite D, Broolyn, NY 11203 2018-09-20
1578043014 Dulande Louis Social Worker 3807 Church Avenue, Brooklyn, NY 11203 2018-08-15
1265927529 Ghanavi Kumaran Student in an Organized Health Care Education/Training Program 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 2018-06-28
1407357593 U'nique Minds LLC Early Intervention Provider Agency 50 E 51st St, Brooklyn, NY 11203 2018-02-23
1558879247 Joseph Shadrouz Physician Assistant 451 Clarkson Ave # C3202, Brooklyn, NY 11203 2018-01-16
1043738990 Sofie Ann Toussaint-joseph Licensed Practical Nurse 574 East 39th Street, Brooklyn, NY 11203 2017-08-30
1962928408 Haitian Centers Council Inc Clinic/Center 3807 Church Ave, Brooklyn, NY 11203 2017-08-16
1295250496 Una May Benloss Specialist 2 East 53 Rd Street, Brooklyn, NY 11203 2017-08-08
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699287201 Heart & Rhythm Centers of Excellence, Inc Internal Medicine 1623 Flatbush Ave Ste 110, Brooklyn, NY 11210-3259 2017-11-05
1871958140 Med Care Consultants Internal Medicine 4713 Church Ave, Brooklyn, NY 11203-3209 2015-12-30
1710366729 Nyc Diagnostic Medical P.C. Internal Medicine 622 Avenue X, Brooklyn, NY 11235-6120 2015-05-22
1952723017 Jeremiah M Gelles, Md PC Internal Medicine 508 78th St, Brooklyn, NY 11209-3706 2014-01-09
1265862486 Cardiovascular Wellness Medical Internal Medicine 2606 Haring St Fl 2, Brooklyn, NY 11235-1606 2013-11-25
1740522176 Cardiac Associates of New York Pllc Internal Medicine 372 Avenue U Ste 1b, Brooklyn, NY 11223-4052 2013-03-24
1831430495 Helping Hands Medical Services PC Internal Medicine 2422 Knapp St, Brooklyn, NY 11235-1006 2013-03-07
1588927222 Hayder Ahmed Internal Medicine 2536 E 11th St, First Floor, Brooklyn, NY 11235-5012 2012-06-18
1508136342 H.sudhakar Prabhu,md,pc Internal Medicine 9920,4th Ave, Brooklyn, NY 11209-8333 2012-01-11
1730467929 Jeung-eun Lee Internal Medicine 263 7th Ave Ste 2b, Brooklyn, NY 11215-3693 2011-07-22
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Competitor

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City BROOKLYN
Zip Code 11203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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