Individual provider Active NPI

Hera Sambaziotis, MD

  • Obstetrics & Gynecology Physician
  • Lake Success, NY
National Provider Identifier
1588744148
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
228951 Issued in NY
Practice address
2800 Marcus Ave
Suite 204
Lake Success, NY 11042-0000
Phone
(516) 437-2020
Fax
(516) 437-2019
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

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 228951 NY Primary

Addresses

Primary practice location

2800 Marcus Ave
Suite 204
Lake Success, NY 11042-0000

Mailing address

2800 Marcus Ave
Suite 204
Lake Success, NY 11042-0000
Phone (516) 437-2020

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
I20040512001202 NY Practitioner - Obstetrics/Gynecology 5597755629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York at Stony Brook, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1991 Marcus Ave
Suite M101
New Hyde Park, NY 11042-2062
Phone (516) 437-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.2 of 100Reported as individual
Quality
77.55
Improvement activities
40
Cost
67.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228951NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hera Sambaziotis MD MPH & Martina Frandina MD Obstetrics & Gynecology PC Obstetrics & Gynecology CurrentSince Feb 1, 2007 Accepting new patients

Locations

2800 Marcus Ave
Ste 204
New Hyde Park, NY 11042
Phone (516) 352-1742

1991 Marcus Ave
Ste M101
New Hyde Park, NY 11042
Phone (516) 437-2020

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.

Hospital & facility affiliations 4

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588744148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MARCUS AVE",
            "address_2": "SUITE 204",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110420000",
            "telephone_number": "516-437-2020",
            "fax_number": "516-437-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MARCUS AVE",
            "address_2": "SUITE 204",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110420000",
            "telephone_number": "516-437-2020",
            "fax_number": "516-437-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMBAZIOTIS",
        "first_name": "HERA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "228951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Success, NY

Sources for this page

Verify at the official NPI Registry.