Organization Active NPI

Panagiotis Zenetos Physician, PC

  • Pain Medicine Physician
  • Bayside, NY
National Provider Identifier
1245370154
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PANAGIOTIS ZENETOS PHYSICIAN, PC
Practice address
21633 27TH Ave
Bayside, NY 11360-2611
Phone
(718) 224-9094
Fax
(718) 726-1084
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Authorized official

Name
Dr. Panagiotis Zenetos, MDNPI 1548200967
Title
President
Phone
(718) 224-9094

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X NY
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X NY Primary

Addresses

Primary practice location

21633 27TH Ave
Bayside, NY 11360-2611

Mailing address

21633 27TH Ave
Bayside, NY 11360-2611
Phone (718) 224-9094

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070705000613 NY Part B Supplier - Clinic/Group Practice 8527005966 Receives reassigned benefits from 3 practitioners
Practice locations: Astoria, NY; Brooklyn, NY

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.

Locations

370 Bay Ridge Pkwy
Brooklyn, NY 11209
Phone (718) 499-7246

19413 Northern Blvd
Flushing, NY 11358
Phone (718) 357-0298

7904 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 894-2323

Practitioners & affiliated clinicians

Practitioners 8

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1245370154",
    "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": "718-224-9094",
            "fax_number": "718-726-1084"
        },
        {
            "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": "718-224-9094",
            "fax_number": "718-726-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAGIOTIS ZENETOS PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "ZENETOS",
        "authorized_official_first_name": "PANAGIOTIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-224-9094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": null,
            "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 Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.