NPIMap

Individual provider Active NPI

Nicholas D. Panagiotou, M.D, PH.D., M.S.

  • Family Medicine Physician
  • Ridgewood, NJ
National Provider Identifier
1316987019
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MAO7320300 Issued in NJ
Practice address
385 South Maple Ave
Suite 107
Ridgewood, NJ 07450
Phone
(201) 447-3690
Fax
(201) 447-3691
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MAO7320300 NJ Primary

Addresses

Primary practice location

385 South Maple Ave
Suite 107
Ridgewood, NJ 07450

Mailing address

P.O. Box 115
Ridgewood, NJ 07451-0115
Phone (201) 447-3690

Other identifiers 1

IdentifierTypeStateIssuer
8751102MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050121000267 NJ Practitioner - Family Practice 2769431279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Waterford Towers
190 River Road Medical Suite
Edgewater, NJ 07020
Phone (201) 447-3690

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Hackensack, NJ, CCN 317047
  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
  • Holy Name Home Care Home health agency, Teaneck, NJ, CCN 317077
  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Careone at Wellington Nursing home, Hackensack, NJ, CCN 315152
  • Dellridge Health & Rehabilitation Center Nursing home, Paramus, NJ, CCN 315129
  • Careone at Oradell Nursing home, Oradell, NJ, CCN 315339
  • Family of Caring at Teaneck LLC Nursing home, Teaneck, NJ, CCN 315037
  • Family of Caring at Park Ridge LLC Nursing home, Park Ridge, NJ, CCN 315438

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
25MAO7320300NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CGF Medical Center PA Past Accepting new patients
Regional Physician Services, NJ, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: npanagiotou191457@ahs.direct-ci.com

Organizations & group practices 3

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1316987019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 115",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074510115",
            "telephone_number": "201-447-3690",
            "fax_number": "201-447-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 SOUTH MAPLE AVE",
            "address_2": "SUITE 107",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-447-3690",
            "fax_number": "201-447-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAGIOTOU",
        "first_name": "NICHOLAS",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D, PH.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MAO7320300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8751102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.