NPIMap

Individual provider Active NPI

George Stoupakis, MD

  • Cardiovascular Disease Physician
  • Hackensack, NJ
National Provider Identifier
1235103243
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA07271800 Issued in NJ
Practice address
5 Summit Ave
Suite 200
Hackensack, NJ 07601-8503
Phone
(201) 343-7001
Fax
(201) 343-7232
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA07271800 NJ Primary

Addresses

Primary practice location

5 Summit Ave
Suite 200
Hackensack, NJ 07601-8503

Mailing address

PO Box 67
Hackensack, NJ 07602-0067
Phone (201) 343-7001

Other identifiers 1

IdentifierTypeStateIssuer
0075639MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050613000102 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3072556273 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Century Imaging LLCGroup PAC ID 4082517370, 61 clinicians

Practice addresses (Care Compare)

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-5045

5 Summit Ave
Suite 200
Hackensack, NJ 07601-1271
Phone (201) 343-7001

555 Kinderkamack Rd
Oradell, NJ 07649-1517
Phone (201) 488-2660

Hospital & facility affiliations

  • Visiting Health Services of New Jersey Home health agency, Woodland Park, NJ, CCN 317058
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Hudson Regional Hospital Hospital, Secaucus, NJ, CCN 310118
  • Hackensack Meridian Health Pascack Valley Medical Hospital, Westwood, NJ, CCN 310130
  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.25 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
66.93

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting19
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA07271800NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Mar 1, 2008 Accepting new patients
New Century Imaging LLC CurrentSince Jul 15, 2019 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Mar 1, 2008 Accepting new patients
Metropolitan Cardiovascular Consultants,LLC Cardiovascular Disease CurrentSince Mar 1, 2008 Accepting new patients
Dmac Vascular Lab LLC Past Accepting new patients
Hackensack Radiology Group PA Past Accepting new patients
Irpus Electrophysiology LLC Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

5 Summit Ave
Ste 200
Hackensack, NJ 07601
Phone (201) 264-4734

555 Kinderkamack Rd
Oradell, NJ 07649
Phone (201) 261-2400

Interoperability endpoints

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

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 and National Provider Directory roles.

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1235103243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076020067",
            "telephone_number": "201-343-7001",
            "fax_number": "201-343-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SUMMIT AVE",
            "address_2": "SUITE 200",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076018503",
            "telephone_number": "201-343-7001",
            "fax_number": "201-343-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUPAKIS",
        "first_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA07271800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075639",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.