Individual provider Active NPI

George Zervos, M.D.

  • Hematology & Oncology Physician
  • Glen Head, NY
National Provider Identifier
1487702544
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
170701 Issued in NY
Practice address
333 Glen Head Road
Suite 210
Glen Head, NY 11545-1947
Phone
(516) 609-3010
Fax
(516) 609-3012
NPI assigned
Jan 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 170701 NY Primary

Addresses

Primary practice location

333 Glen Head Road
Suite 210
Glen Head, NY 11545-1947

Mailing address

333 Glen Head Rd
Suite 210
Glen Head, NY 11545-1947
Phone (516) 609-3010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041129000928 NY Practitioner - Hematology 5193780328 Reassigns benefits to 1 organization
Practice locations: Glen Head, NY; Greenvale, NY

Care Compare profile

Medicare Care Compare
Specialty
Hematology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

2200 Northern Blvd
Suite 112
Greenvale, NY 11548-1220
Phone (516) 484-6777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
170701NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Aug 1, 2017 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Brookville Hematology Oncology PLLC Hematology & Oncology Past Accepting new patients

Locations

2200 Northern Blvd
Ste 111
Greenvale, NY 11548
Phone (516) 325-7500

2200 Northern Blvd
Ste 112
Greenvale, NY 11548
Phone (516) 484-6777

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: gzervos23733@direct-chsli.net

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 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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487702544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GLEN HEAD RD",
            "address_2": "SUITE 210",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451947",
            "telephone_number": "516-609-3010",
            "fax_number": "516-609-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GLEN HEAD ROAD",
            "address_2": "SUITE 210",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451947",
            "telephone_number": "516-609-3010",
            "fax_number": "516-609-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERVOS",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "170701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Head, NY

Sources for this page

Verify at the official NPI Registry.