Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Polydoros Kampaktsis, MD

Individual provider Cardiovascular Disease Physician · NPI 1316387483

Polydoros Kampaktsis, MD is a Cardiovascular Disease (Cardiology) in Hackensack, New Jersey. Qualified in 2010, 16 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Idaho, New Jersey and New York.

Years since qualifying
16
Licensed in
ID, NJ, NY
In the registry since
2013
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (551) 996-3880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6140 W Curtisian Ave Ste 200, Boise, ID 83704-0107 — (208) 302-0000
  • 173 Fort Washington Ave, New York, NY 10032-3739 — (212) 305-9875

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 25MA12002800 (NJ)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 292110 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 292110 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 5481017 (ID)

Record details

NPI number1316387483
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2013
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address331 Newman Springs Rd, Red Bank, NJ 07701-5688

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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