George Panagiotis Roussis, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

224106 Issued in NY

Practice address

2627B Hylan Blvd
Staten Island, NY 10306-4353

Phone

(718) 667-5500

Fax

(718) 667-5510

NPI assigned

Sep 8, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1568456382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627B HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064353",
            "telephone_number": "718-667-5500",
            "fax_number": "718-667-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627B HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064353",
            "telephone_number": "718-667-5500",
            "fax_number": "718-667-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSIS",
        "first_name": "GEORGE",
        "middle_name": "PANAGIOTIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "224106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02423650",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louis A Rotondo, M.A.
• John Robert Rottkamp, MD
• Susan Roubicek, DMD
• Richard Rouder DPM
• Rouming Tots Inc
• Nicholas Panagiotis Roussis, MD
• Adam Routher, CRPA
• Mitchell Frank Rouzie, M.S.W.
• Tinamarie Rovito Gomez, PHD
• Germaine N Rowe, MD

• Pediatrics Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.