Active NPI
Eunice E L Georgiadis, N.P.
- Family Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 334489
- Practice address
- 215 East 95TH Street
New York, NY 10128-4007 - Phone
- (212) 996-8000
- Fax
- (212) 423-3127
- NPI assigned
- Jan 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 26NR10593500 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 334489 | NY | Primary |
Addresses
Primary practice location
215 East 95TH Street
New York, NY 10128-4007
Mailing address
Advantagecare Physicians, PC
55 Water Street 2ND Floor Cred Dept
New York, NY 10041-0004
Phone (646) 680-2888
Other practice location 1
28 W 3rd St Apt 2446
South Orange, NJ 07079-1791
Phone (973) 902-9989
Other practice location 2
11205 Queens Blvd
Forest Hills, NY 11375-8311
Phone (718) 670-1837
Other names 1
- Eunice Lee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR10593500 | NJ | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Family Medical Associates, P.C. | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Nbimc Department of Surgery | Past | Accepting new patients | |
| Summit Medical Group PA | Past | Accepting new patients | |
| Hospitalists Emo, LLC | Past | Accepting new patients |
Locations
2488 Grand Concourse
Bronx, NY 10458
Phone (212) 695-5122
1797 Coney Island Ave
Brooklyn, NY 11230
Phone (212) 695-5122
233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595
50 Court St
Brooklyn Heights, NY 11201
Phone (718) 522-3131
342 Beach 54th St
Far Rockaway, NY 11692
Phone (718) 474-0801
11205 Queens Blvd
Forest Hills, NY 11375
Phone (718) 732-1550
16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121
271 Doughty Blvd
Inwood, NY 11096
Phone (516) 239-4244
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192
317 E 34th St
New York, NY 10016
Phone (212) 263-9741
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
215 E 95th St
New York, NY 10128
Phone (212) 423-3111
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
55 Water St
Fl 2
New York, NY 10041
229 W 36th St
Fl 10
New York, NY 10018
Phone (212) 695-5122
9777 Queens Blvd
Rego Park, NY 11374
Phone (718) 275-9300
Philadelphia, PA 19195
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 13
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.
-
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- Pediatrics Physician
- Fresh Meadows, NY
- NPI 1003114851
-
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
-
- Family Medicine Physician
- Inwood, NY
- NPI 1720122716
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
-
- Multi-Specialty Clinic/Center
- Flushing, NY
- NPI 1740792233
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Internal Medicine Physician
- New York, NY
- NPI 1861907321
-
- Hospitalist Physician
- Livingston, NJ
- NPI 1275575623
-
- Surgery Physician
- Newark, NJ
- NPI 1487602611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1245477660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ADVANTAGECARE PHYSICIANS, PC",
"address_2": "55 WATER STREET 2ND FLOOR CRED DEPT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100410004",
"telephone_number": "646-680-2888",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 EAST 95TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101284007",
"telephone_number": "212-996-8000",
"fax_number": "212-423-3127"
}
],
"practiceLocations": [
{
"address_1": "28 W 3rd St Apt 2446",
"address_purpose": "LOCATION",
"city": "South Orange",
"state": "NJ",
"postal_code": "070791791",
"country_code": "US",
"telephone_number": "973-902-9989",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11205 Queens Blvd",
"address_purpose": "LOCATION",
"city": "Forest Hills",
"state": "NY",
"postal_code": "113758311",
"country_code": "US",
"telephone_number": "718-670-1837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEORGIADIS",
"first_name": "EUNICE",
"middle_name": "E L",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-08",
"last_updated": "2021-04-13",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "NJ",
"license": "26NR10593500",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "334489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EUNICE",
"last_name": "LEE",
"credential": "N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.