Organization Active NPI

Panagiotis Zenetos Physician PC

  • Interventional Pain Medicine Physician
  • Bayside, NY
National Provider Identifier
1134516990
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
235075 Issued in NY
Legal business name
PANAGIOTIS ZENETOS PHYSICIAN PC
Practice address
21633 27TH Ave
Bayside, NY 11360-2611
Phone
(917) 572-6136
Fax
(718) 313-0436
NPI assigned
Apr 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Panagiotis Zenetos, M.D.NPI 1548200967
Title
President
Phone
(917) 572-6136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 235075 NY Primary

Addresses

Primary practice location

21633 27TH Ave
Bayside, NY 11360-2611

Mailing address

21633 27TH Ave
Bayside, NY 11360-2611
Phone (917) 572-6136

National Provider Directory

National Provider Directory
Tax ID family
Panagiotis Zenetos Physician PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1134516990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21633 27TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602611",
            "telephone_number": "917-572-6136",
            "fax_number": "718-313-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21633 27TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602611",
            "telephone_number": "917-572-6136",
            "fax_number": "718-313-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAGIOTIS ZENETOS PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "ZENETOS",
        "authorized_official_first_name": "PANAGIOTIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-572-6136",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "235075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.