Charles Tsakrios Jr. M.D PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MA41737 Issued in NJ

Legal business name

CHARLES TSAKRIOS JR. M.D PA

Practice address

89 N Maple Ave
Ridgewood, NJ 07450-3235

Phone

(201) 445-1991

Fax

(201) 445-4827

NPI assigned

Oct 4, 2006

Organization subpart

Yes

Parent organization

CHARLES TSAKRIOS JR. M.D PAAs reported in NPPES

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

Authorized official

Name

Dr. Charles Tsakrios Jr., M.D.NPI 1699860932

Title

President

Phone

(201) 445-1991

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Part of

Charles Tsakrios Jr MD PA

Locations

Interoperability endpoints

• Direct secure messaging: ctsakrios@ridgewoodeye.intellechartdirect.net
• Direct secure messaging: gbattipaglia@ridgewoodeye.intellechartdirect.net

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Tsakrios Jr., M.D.

  • Ophthalmology Physician
  • Ridgewood, NJ
  • NPI 1699860932
  Medicare reassignment NPD Authorized official
• Georgina Maria Battipaglia, O.D.

  • Optometrist
  • Ridgewood, NJ
  • NPI 1922786870
  Medicare reassignment NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1487740981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 N MAPLE AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503235",
            "telephone_number": "201-445-1991",
            "fax_number": "201-445-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 N MAPLE AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503235",
            "telephone_number": "201-445-1991",
            "fax_number": "201-445-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES TSAKRIOS JR. M.D PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLES TSAKRIOS JR. M.D PA",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "TSAKRIOS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-445-1991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA41737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3295206",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RENDERING PIN",
            "identifier": "469537XQ8",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corey Chan, PA-C
• Jenny Sang Chan, MD
• Sara Anne Chan, P.T., C.F.M.T
• Breehan Kelley Chancellor, M.D.
• Daniel Char
• Susan Charles, FNP
• Joy Charnesky
• Ahmad N Chaudhry, M.D.
• Jeffrey Chen
• Samuel Chen, LCSW

• Ophthalmology Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.