Individual provider Active NPI

Alexander George Tzavaras, M.D.

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1104089085
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
248887-1 Issued in NY
Practice address
3860 E Tremont Ave
Bronx, NY 10465-2422
Phone
(718) 960-1592
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 248887-1 NY Primary

Addresses

Primary practice location

3860 E Tremont Ave
Bronx, NY 10465-2422

Mailing address

3860 E Tremont Ave
Bronx, NY 10465-2422
Phone (718) 881-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081113000091 NY Practitioner - Pediatric Medicine 6002975588 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
248887NYMDLicensed Practical Nurse
248887-1NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medcial Center CurrentSince Nov 18, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Apr 26, 2017 Accepting new patients
Montefiore Medical Center Pediatrics CurrentSince Apr 26, 2017 Accepting new patients
Montefiore Medical Center Pediatrics Past Accepting new patients

Locations

2100 Bartow Ave
Bronx, NY 10475
Phone (718) 320-5300

111 E 210th St
Bronx, NY 10467

3860 E Tremont Ave
Bronx, NY 10465
Phone (718) 881-0100

2532 Grand Concourse
Bronx, NY 10458
Phone (718) 960-1500

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: atzavara@montefioredirect.com

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1104089085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652422",
            "telephone_number": "718-881-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652422",
            "telephone_number": "718-960-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TZAVARAS",
        "first_name": "ALEXANDER",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "248887-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.