Individual provider Active NPI

Dimitris C Zouzias, M.D.

  • Dermatology Physician
  • Flushing, NY
National Provider Identifier
1366480527
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
174330 Issued in NY
Practice address
3202 Union St
Flushing, NY 11354-3049
Phone
(718) 445-1550
Fax
(718) 445-2843
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA05020700 NJ
Dermatology Physician 207N00000X 174330 NY Primary

Addresses

Primary practice location

3202 Union St
Flushing, NY 11354-3049

Mailing address

3202 Union St
Flushing, NY 11354-3049
Phone (718) 445-1550

Other identifiers 1

IdentifierTypeStateIssuer
0365106MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050315000173 NJ Practitioner - Dermatology 5395790174 Reassigns benefits to 2 organizations
I20111031000491 NY Practitioner - Dermatology 5395790174 Practice locations: Flushing, NY

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical Group PCGroup PAC ID 8628470325, 217 clinicians

Practice addresses (Care Compare)

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-6331

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions140
Removal or shaving of skin growth1-10
Skin biopsy37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical Group PC CurrentSince Nov 2, 2021 Accepting new patients
St. Joseph'S Healthcare, Inc. CurrentSince Mar 1, 2006 Accepting new patients
Newyork-Presbyterian/Queens Past Accepting new patients

Locations

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

57 Willowbrook Blvd
Wayne, NJ 07470
Phone (201) 288-6330

220 Hamburg Tpke
Ste 203
Wayne, NJ 07470

Interoperability endpoints

  • Direct secure messaging: dzouzias684896@nychhc.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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366480527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 UNION ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543049",
            "telephone_number": "718-445-1550",
            "fax_number": "718-445-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 UNION ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543049",
            "telephone_number": "718-445-1550",
            "fax_number": "718-445-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOUZIAS",
        "first_name": "DIMITRIS",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA05020700",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "174330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0365106",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.