Individual provider Active NPI

Andrew Scott Athanassiou, M.D.

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1295189199
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
298970 Issued in NY
Practice address
1055 Stewart Ave FL 1
Brooklyn, NY 11203-2012
Phone
(516) 938-0100
Fax
(516) 938-0120
NPI assigned
Apr 17, 2016
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 298970 NY Primary

Addresses

Primary practice location

1055 Stewart Ave FL 1
Brooklyn, NY 11203-2012

Mailing address

55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888

Other practice location 1

70 Charles Lindbergh Blvd Ste 100
Uniondale, NY 11553-3634
Phone (516) 483-2020

Other practice location 2

300 Bayshore Road
North Babylon, NY 11703-2823
Phone (631) 586-2700

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201015003051 NY Practitioner - Obstetrics/Gynecology 7012337884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

1055 Stewart Ave
Bethpage, NY 11714-3596
Phone (516) 938-0100

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
298970NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Obstetrics & Gynecology CurrentSince Aug 3, 2020 Accepting new patients
Advantagecare Physicians PC CurrentSince Aug 4, 2025 Accepting new patients
Advantagecare Physicians PC CurrentSince Aug 4, 2025 Accepting new patients
North Shore - Lij Medical PC CurrentSince Aug 3, 2020 Accepting new patients
Staten Island University Hospital Past Accepting new patients

Locations

1055 Stewart Ave
Bethpage, NY 11714
Phone (516) 938-0100

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

55 Water St
Fl 2
New York, NY 10041

300 Bay Shore Rd
North Babylon, NY 11703
Phone (631) 586-2700

375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

70 Charles Lindbergh Blvd
Ste 1
Uniondale, NY 11553
Phone (516) 483-2020

70 Charles Lindbergh Blvd
Ste 100
Uniondale, NY 11553
Phone (516) 483-2020

Networks

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

Interoperability endpoints

  • Direct secure messaging: aathanassiou55441@direct.acpny.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1295189199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "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": "1055 STEWART AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "516-938-0100",
            "fax_number": "516-938-0120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Charles Lindbergh Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Uniondale",
            "state": "NY",
            "postal_code": "115533634",
            "country_code": "US",
            "telephone_number": "516-483-2020",
            "fax_number": "516-941-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Bayshore Road",
            "address_purpose": "LOCATION",
            "city": "North Babylon",
            "state": "NY",
            "postal_code": "117032823",
            "country_code": "US",
            "telephone_number": "631-586-2700",
            "fax_number": "631-491-8613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATHANASSIOU",
        "first_name": "ANDREW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-17",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "298970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.