Individual provider Active NPI

Elias L. Tzanides, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1013085042
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
185110 Issued in NY
Practice address
8407 Fort Hamilton Pkwy
Brooklyn, NY 11209-4805
Phone
(718) 745-1234
Fax
(718) 745-4768
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 185110 NY Primary

Addresses

Primary practice location

8407 Fort Hamilton Pkwy
Brooklyn, NY 11209-4805

Mailing address

8407 Fort Hamilton Pkwy
Brooklyn, NY 11209-4805
Phone (718) 745-1234

Other identifiers 1

IdentifierTypeStateIssuer
01357955MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110419000823 NY Practitioner - Internal MedicinePractitioner - Undersea and Hyperbaric Medicine 5496930331 Reassigns benefits to 2 organizations
I20220414000089 NJ Practitioner - Pain Management 5496930331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hbot LLC CurrentSince Jun 4, 2025 Accepting new patients
Complete Cardiovascular Care PC CurrentSince Jun 1, 2016 Accepting new patients
NJ Community Spine and Pain LLC Internal Medicine CurrentSince Feb 28, 2022 Accepting new patients
NJ Community Care Center PastSince Feb 28, 2022 Accepting new patients

Locations

864 Route 37 W
Ste 1
Toms River, NJ 08755
Phone (732) 503-4079

7803 4th Ave
Brooklyn, NY 11209
Phone (718) 491-4949

900 1st Ave
New York, NY 10022
Phone (212) 981-5557

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIACDA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013085042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8407 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094805",
            "telephone_number": "718-745-1234",
            "fax_number": "718-745-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8407 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094805",
            "telephone_number": "718-745-1234",
            "fax_number": "718-745-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TZANIDES",
        "first_name": "ELIAS",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "185110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01357955",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.