Individual provider Active NPI

Geroge Tsiotsias, DO

  • Trauma Surgery Physician
  • Camden, NJ
National Provider Identifier
1295745966
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
MB081183 Issued in NJ
Practice address
1 Cooper PLZ
Cooper Univeristy Trauma Physicians
Camden, NJ 08103-1461
Phone
(856) 342-3014
Fax
(856) 342-2817
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X OS016185 PA
Trauma Surgery Physician 2086S0127X MB081183 NJ Primary

Addresses

Primary practice location

1 Cooper PLZ
Cooper Univeristy Trauma Physicians
Camden, NJ 08103-1461

Mailing address

3 Cooper PLZ
Suite 502
Camden, NJ 08103-1438
Phone (856) 968-7433

Other practice location 1

1203 Langhorne Newtown Rd Ste 225
Langhorne, PA 19047-1237
Phone (215) 710-5900

Other identifiers 9

IdentifierTypeStateIssuer
0114073MedicaidNJ
60027894OtherNJHORIZON NJ HEALTH
01007800200OtherNJAMERICHOICE
3K6046OtherNJHEALTHNET
P3723039OtherNJOXFORD
2790059000OtherNJAMERIHEALTH/KEYSTONE/IBC
3K7585OtherNJHEALTHNET
7776408OtherNJCIGNA
1378702OtherNJAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120822000616 PA Practitioner - General Surgery 3476659392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1203 Langhorne Newtown Rd
Suite 225
Langhorne, PA 19047-1237
Phone (215) 710-6613

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB081183NJMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince May 31, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Trauma Surgery CurrentSince Aug 19, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Aug 19, 2024 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince May 31, 2024 Accepting new patients
St Mary Medical Center Past Accepting new patients
Cooper Surgical Associates Past Accepting new patients
Cooper Obstetrical Associates, PC Past Accepting new patients

Locations

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Ste 240
Chester, PA 19013
Phone (610) 541-7927

1203 Langhorne Newtown Rd
Ste 225
Langhorne, PA 19047
Phone (215) 710-4490

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Organizations & group practices 9

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 1

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1295745966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ",
            "address_2": "SUITE 502",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-968-7433",
            "fax_number": "856-968-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "address_2": "COOPER UNIVERISTY TRAUMA PHYSICIANS",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "856-342-3014",
            "fax_number": "856-342-2817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 Langhorne Newtown Rd Ste 225",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471237",
            "country_code": "US",
            "telephone_number": "215-710-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSIOTSIAS",
        "first_name": "GEROGE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "PA",
            "license": "OS016185",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NJ",
            "license": "MB081183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0114073",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60027894",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01007800200",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3K6046",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3723039",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/KEYSTONE/IBC",
            "identifier": "2790059000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3K7585",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7776408",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1378702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.