| Dr Constantinos Kintiroglou, MD | |
| 1500 Pleasant Valley Way, Ste 306, West Orange, NJ 07052-2956 | |
| (973) 243-0002 | |
| (973) 243-1227 | 
| Full Name | Dr Constantinos Kintiroglou | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Adolescent Medicine | 
| Location | 1500 Pleasant Valley Way, West Orange, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205966124 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | MA03124000 (New Jersey) | Primary | 
| Entity Name | Advocare , Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Constantinos Kintiroglou, MD 357 Walnut St, Livingston, NJ 07039-5011 Ph: (973) 740-0548 | Dr Constantinos Kintiroglou, MD 1500 Pleasant Valley Way, Ste 306, West Orange, NJ 07052-2956 Ph: (973) 243-0002 | 
| Dr. Erik Dienna, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 745 Northfield Ave Ste 7, West Orange, NJ 07052 Phone: 973-243-0002 Fax: 855-274-7153 | |
| Dr. Svetlana Lantsman Sabel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 375 Mount Pleasant Ave Ste 105, West Orange, NJ 07052 Phone: 973-322-6900 Fax: 973-322-6999 | |
| Dr. Susan Sonhe Yoo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Old Short Hills Rd Ste 105, West Orange, NJ 07052 Phone: 973-325-1115 Fax: 973-325-1186 | |
| Stephen Amaefuna, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Faas Ct, West Orange, NJ 07052 Phone: 973-715-2688 Fax: 973-324-9725 | |
| Marianne Jacob,  Pediatrics Medicare: Medicare Enrolled Practice Location: 375 Mount Pleasant Ave, West Orange, NJ 07052 Phone: 973-322-6900 Fax: 973-322-6999 | |
| Valentyna Tack, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Old Short Hills Rd Ste 105, West Orange, NJ 07052 Phone: 973-325-1115 Fax: 973-325-1186 |