Individual provider Active NPI

George S. Ferzli, M.D.

  • Specialist
  • Staten Island, NY
National Provider Identifier
1497729081
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
149264 Issued in NY
Practice address
65 Cromwell Ave
Staten Island, NY 10304-3944
Phone
(718) 667-8100
Fax
(718) 667-6280
NPI assigned
Feb 13, 2006
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 149264 NY Primary

Addresses

Primary practice location

65 Cromwell Ave
Staten Island, NY 10304-3944

Mailing address

65 Cromwell Ave
Staten Island, NY 10304-3944
Phone (718) 667-8100

Other identifiers 1

IdentifierTypeStateIssuer
00867996MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gferzli113769@nyumc.direct-ci.com

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
I20040623000078 NY Practitioner - General Surgery 7517942543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

1220 Ave P
Brooklyn, NY 11229-1009
Phone (718) 376-1004

150 55TH St
Brooklyn, NY 11220-2508
Phone (718) 630-7000

65 Cromwell Ave
Staten Island, NY 10304-3944
Phone (718) 667-8100

8714 5TH Ave
Brooklyn, NY 11209-5204
Phone (718) 630-8600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
149264NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Sep 1, 2015 Accepting new patients
New York University CurrentSince Sep 1, 2015 Accepting new patients
Staten Island Physician Practice PC Past Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7123

8714 5th Ave
Brooklyn, NY 11209
Phone (718) 630-8600

65 Cromwell Ave
Staten Island, NY 10304
Phone (718) 667-8100

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: gferzli65637@northwell.direct-ci.com

Organizations & group practices 5

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 8

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1497729081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CROMWELL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043944",
            "telephone_number": "718-667-8100",
            "fax_number": "718-667-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CROMWELL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043944",
            "telephone_number": "718-667-8100",
            "fax_number": "718-667-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERZLI",
        "first_name": "GEORGE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "149264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00867996",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gferzli113769@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "65 Cromwell Ave",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103043944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.