NPIMap

Individual provider Active NPI

George Hagopian, M.D.

  • Gynecologic Oncology Physician
  • Sleepy Hollow, NY
National Provider Identifier
1205886850
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
209049-1 Issued in NY
Practice address
755 N Broadway Ste 560
Sleepy Hollow, NY 10591-1077
Phone
(914) 366-3640
Fax
(914) 840-1405
NPI assigned
May 12, 2006
Last updated
Jun 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 209049-1 NY Primary

Addresses

Primary practice location

755 N Broadway Ste 560
Sleepy Hollow, NY 10591-1077

Mailing address

755 N Broadway Ste 560
Sleepy Hollow, NY 10591-1077
Phone (914) 366-3640

Other identifiers 9

IdentifierTypeStateIssuer
01872715MedicaidNY
2008532OtherNYUHC,MSNYU,HEALTH TOP TIER
4125588OtherNYMVP
6547288OtherNYCIGNA/HMO/PPO/POS/INDEMNI
P3600640OtherNYOXF, LIBERTY,FREEDOM,MEDI
000000090408OtherNYGHI -HMO
0204239OtherNYGHI-CBP,PPO,PREMIER PPO,
2008532OtherNYUHC,HMO,POS,PPO,EPO,INDEM
4C7901OtherNYHEALTHNET-HMO,PLATINUM,PP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721000787 NY Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 1658351655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7901 Broadway
Elmhurst, NY 11373-1329
Phone (718) 334-4952

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209049-1NYMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Mark Gordon, MD, PC Past Accepting new patients
Westchester Oncology & Hematology Group, P.C. Past Accepting new patients
Mount Sinai Diagnostic and Treatment Center Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
George S Hagopian MD PLLC PastSince Sep 1, 2009 Accepting new patients

Locations

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-4951

Networks

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

Organizations & group practices 7

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 3

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1205886850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N BROADWAY STE 560",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911077",
            "telephone_number": "914-366-3640",
            "fax_number": "914-840-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N BROADWAY STE 560",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911077",
            "telephone_number": "914-366-3640",
            "fax_number": "914-840-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGOPIAN",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NY",
            "license": "209049-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01872715",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC,MSNYU,HEALTH TOP TIER",
            "identifier": "2008532",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "4125588",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA/HMO/PPO/POS/INDEMNI",
            "identifier": "6547288",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXF, LIBERTY,FREEDOM,MEDI",
            "identifier": "P3600640",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI -HMO",
            "identifier": "000000090408",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-CBP,PPO,PREMIER PPO,",
            "identifier": "0204239",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC,HMO,POS,PPO,EPO,INDEM",
            "identifier": "2008532",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET-HMO,PLATINUM,PP",
            "identifier": "4C7901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

Verify at the official NPI Registry.