Individual provider Active NPI

Georgios Kotzias, DPM

  • Podiatrist
  • Paramus, NJ
National Provider Identifier
1376942664
Registry record updated Jan 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00331900 Issued in NJ
Practice address
80 E Rte 4 Ste 100
Paramus, NJ 07652-2647
Phone
(201) 255-4040
Fax
(201) 255-4023
NPI assigned
Aug 22, 2014
Last updated
Jan 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00331900 NJ Primary

Addresses

Primary practice location

80 E Rte 4 Ste 100
Paramus, NJ 07652-2647

Mailing address

PO Box 625
Ridgefield Park, NJ 07660-0625
Phone (201) 255-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160823000346 NJ Practitioner - Podiatry 0446541437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabeth Foot and Ankle Associates PAGroup PAC ID 8921290479, 5 clinicians

Practice addresses (Care Compare)

240 Williamson St
Suite 200
Elizabeth, NJ 07202-3671
Phone (908) 353-1777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.85 of 100Reported as group
Quality
17.69
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue483
Removal of nail tissue1301
Removal or shaving of skin growth450
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Foot and Ankle Associates Professional Association Podiatrist Current Accepting new patients
Elizabeth Foot and Ankle Associates PA Podiatrist CurrentSince Sep 19, 2017 Accepting new patients

Locations

9 Lamington Rd
Ste B
Branchburg, NJ 08876
Phone (908) 203-0022

240 Williamson St
Ste 200
Elizabeth, NJ 07202
Phone (908) 353-1777

50 Union Ave
Ste 501
Irvington, NJ 07111
Phone (908) 362-0123

16 Arcadian Way
Ste C6
Paramus, NJ 07652
Phone (201) 255-4040

412 Pleasant Valley Way
Ste 200
West Orange, NJ 07052
Phone (201) 792-1600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12234/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: kotzias@efaaap-nj.direct.office.nextgen.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579910400000",
    "number": "1376942664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 625",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076600625",
            "telephone_number": "201-255-4040",
            "fax_number": "201-255-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E RTE 4 STE 100",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522647",
            "telephone_number": "201-255-4040",
            "fax_number": "201-255-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTZIAS",
        "first_name": "GEORGIOS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-22",
        "last_updated": "2020-01-25",
        "certification_date": "2020-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00331900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.