Active NPI
Eirini Tsangalidis, M.D.
- Family Medicine Physician
- Summit, NJ
National Provider Identifier
1578874319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MT197457
- Practice address
- 33 Overlook Rd
L01
Summit, NJ 07901-3570 - Phone
- (908) 522-5700
- NPI assigned
- Jun 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MT197457 | PA | Primary |
Addresses
Primary practice location
33 Overlook Rd
L01
Summit, NJ 07901-3570
Mailing address
33 Overlook Rd
L01
Summit, NJ 07901-3570
Phone (908) 522-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT197457 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Practice Associates Medical Group | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1578874319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 OVERLOOK RD",
"address_2": "L01",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013570",
"telephone_number": "908-522-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 OVERLOOK RD",
"address_2": "L01",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013570",
"telephone_number": "908-522-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSANGALIDIS",
"first_name": "EIRINI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-26",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MT197457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.