Individual provider Active NPI

Eunice E L Georgiadis, N.P.

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1245477660
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
334489 Issued in NY
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

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140806001029 NY Practitioner - Nurse Practitioner 0042106759 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR10593500NJMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Family Medical Associates, P.C. CurrentSince Dec 17, 2025 Accepting new patients
Optum Medical Care, P.C. CurrentSince Aug 31, 2020 Accepting new patients
Trustees of Columbia University in the City of New York Current Accepting new patients
Optum Medical Care, P.C. CurrentSince Aug 31, 2020 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jul 15, 2019 Accepting new patients
Advantagecare Physicians PC CurrentSince Apr 19, 2021 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Mar 13, 2023 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Mar 13, 2023 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jul 15, 2019 Accepting new patients
Advantagecare Physicians PC CurrentSince Apr 19, 2021 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

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • FHIR API: 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.

View all 13

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

Verify at the official NPI Registry.