Active NPI
John D Stratigis, M.D.
- Pediatric Surgery Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- MT219531
- Practice address
- 3401 Civic Center Blvd
Philadelphia, PA 19104-4319 - Phone
- (201) 658-6390
- NPI assigned
- Apr 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | MD458960 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Surgery Physician | 2086S0120X | MT219531 | PA | Primary |
Addresses
Primary practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
435 E 70TH St Apt 12L
New York, NY 10021-0513
Phone (201) 658-6390
Other practice location 1
435 E 70th St Apt 12L
New York, NY 10021-0513
Phone (201) 658-6390
Other practice location 2
2121 Market St
Philadelphia, PA 19103-1305
Phone (201) 658-6390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Tufts University School of Medicine, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2000 Health Park Dr
Brentwood, TN 37027-4692
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD458960 | PA | MD | Pediatric Surgery Physician |
| MT219531 | PA | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Womens and Childrens Specialists, LLC | Current | Accepting new patients | |
| Long Island Jewish Medical Center | Past | Accepting new patients | |
| Long Island Jewish Medical Center | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200
1111 Marcus Ave
Ste M15
New Hyde Park, NY 11042
Phone (516) 601-7200
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
300 Community Dr
Plandome, NY 11030
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500
330 23rd Ave N
Ste 350
Nashville, TN 37203
Phone (615) 272-2300
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- johnstratigis@nslijmedgr.allscriptsdirect.net
- jstratigis67710@northwell.direct-ci.com
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 and National Provider Directory roles.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Pediatrics Physician
- Nashville, TN
- NPI 1689914756
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Children's Hospital
- New Hyde Park, NY
- NPI 1174530349
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1306189931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 E 70TH ST APT 12L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100210513",
"telephone_number": "201-658-6390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 CIVIC CENTER BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044319",
"telephone_number": "201-658-6390"
}
],
"practiceLocations": [
{
"address_1": "435 E 70th St Apt 12L",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100210513",
"country_code": "US",
"telephone_number": "201-658-6390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2121 Market St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191031305",
"country_code": "US",
"telephone_number": "201-658-6390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STRATIGIS",
"first_name": "JOHN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-02",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "PA",
"license": "MD458960",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "PA",
"license": "MT219531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.