MEDICARE: DR. SIMON G KOKKINAKIS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	231835	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487693974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SIMON G KOKKINAKIS M.D.

Provider Business Mailing Address
First Line	:	2066 RICHMOND AVE
Second Line	:	SUITE 1R
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-3916
Country	:	US
Telephone Number	:	718-477-9000
Fax Number	:	718-477-9012

Provider Business Practice Location Address
First Line	:	2066 RICHMOND AVE
Second Line	:	SUITE 1R
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-3916
Country	:	US
Telephone Number	:	718-477-9000
Fax Number	:	718-477-9012

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	03/26/2015

Similar Medicare Providers

1518789890 — LITTLE EXCELLENCE LLC
Practice Location Address:

2144 RICHMOND AVE
STATEN ISLAND, NY
10314-3916

Practice Phone: 718-370-3784
Practice Fax:

1699772160 — ANURAG BHATIA MD
Practice Location Address:

2066 RICHMOND AVE , SUITE 202
STATEN ISLAND, NY
10314-3916

Practice Phone: 718-698-6500
Practice Fax: 855-564-5600

1538133178 — DR. DENIZ CEREB MD
Practice Location Address:

2066 RICHMOND AVENUE , 1ST FLOOR
STATEN ISLAND, NY
10314-3916

Practice Phone: 718-982-9001
Practice Fax: 718-982-9008

1205801982 — DR. GEORGE P SMITH M.D.
Practice Location Address:

2066 RICHMOND AVENUE
STATEN ISLAND, NY
10314-3916

Practice Phone: 718-608-1111
Practice Fax: 718-698-0021

1316030042 — SYNG YONG KWAK MD
Practice Location Address:

2144 RICHMOND AVE
STATEN ISLAND, NY
10314-3916

Practice Phone: 718-273-8052
Practice Fax: 718-370-3736

1134217508 — MS. MARIE C BEAUREGARD-WEISS LCSW
Practice Location Address:

2078 RICHMOND AVE
STATEN ISLAND, NY
10314-3916

Practice Phone: 917-470-0284
Practice Fax: 352-293-3137

Directions to “ DR. SIMON G KOKKINAKIS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.