Individual provider Active NPI

Adrian Sangeorzan, MD

  • Obstetrics & Gynecology Physician
  • Rego Park, NY
National Provider Identifier
1558323121
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
201684 Issued in NY
Practice address
6231 Cromwell Cres
Rego Park, NY 11374-3937
Phone
(718) 533-7696
Fax
(718) 424-9559
NPI assigned
Apr 6, 2006
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
Obstetrics & Gynecology Physician 207V00000X 201684 NY Primary

Addresses

Primary practice location

6231 Cromwell Cres
Rego Park, NY 11374-3937

Mailing address

6231 Cromwell Cres
Rego Park, NY 11374-3937
Phone (718) 533-7696

Other identifiers 2

IdentifierTypeStateIssuer
01678748MedicaidNY
201684OtherNYLICENSE

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
I20061127000027 NY Practitioner - Obstetrics/Gynecology 9436157633 Reassigns benefits to 2 organizations
Practice locations: Glendale, NY; Rego Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6231 Cromwell Cres
Rego Park, NY 11374-3937
Phone (718) 533-7696

8340 Woodhaven Blvd
Glendale, NY 11385-7824
Phone (718) 849-8700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201684NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TJH Medical Services, P.C. Obstetrics & Gynecology CurrentSince Jan 1, 1999 Accepting new patients
Emusc, LLC CurrentSince Aug 6, 2023 Accepting new patients

Locations

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

11120 Merrick Blvd
Jamaica, NY 11433
Phone (718) 206-7510

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

Networks

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558323121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6231 CROMWELL CRES",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743937",
            "telephone_number": "718-533-7696",
            "fax_number": "718-424-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6231 CROMWELL CRES",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743937",
            "telephone_number": "718-533-7696",
            "fax_number": "718-424-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGEORZAN",
        "first_name": "ADRIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "201684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01678748",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "201684",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.