Individual provider Active NPI

George Seretis, DO

  • Family Medicine Physician
  • Logan Township, NJ
National Provider Identifier
1144208968
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB65801 Issued in NJ
Practice address
499 Beckett Rd
Suite 201-B
Logan Township, NJ 08085
Phone
(856) 467-6400
Fax
(856) 467-1033
NPI assigned
Jan 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Family Medicine Physician 207Q00000X MB65801 NJ Primary

Addresses

Primary practice location

499 Beckett Rd
Suite 201-B
Logan Township, NJ 08085

Mailing address

499 Beckett Rd
Suite 201-B
Logan Township, NJ 08085-1766
Phone (856) 467-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20061031000445 NJ Practitioner - Family Practice 5698772028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

499 Beckett Rd
Suite 201B
Logan Township, NJ 08085-1771
Phone 8564676400106

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.25 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB65801NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seretiscare Inc. CurrentSince Apr 1, 2006 Accepting new patients

Locations

499 Beckett Rd
Ste 201B
Swedesboro, NJ 08085
Phone (856) 467-6400

Interoperability endpoints

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

Organizations & group practices 1

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144208968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 BECKETT RD",
            "address_2": "SUITE 201-B",
            "city": "LOGAN TOWNSHIP",
            "state": "NJ",
            "postal_code": "080851766",
            "telephone_number": "856-467-6400",
            "fax_number": "856-467-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 BECKETT RD",
            "address_2": "SUITE 201-B",
            "city": "LOGAN TOWNSHIP",
            "state": "NJ",
            "postal_code": "08085",
            "telephone_number": "856-467-6400",
            "fax_number": "856-467-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERETIS",
        "first_name": "GEORGE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB65801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan Township, NJ

Sources for this page

Verify at the official NPI Registry.