Individual provider Active NPI

Andreas E Xagoraris, M.D.

  • Anesthesiology Physician
  • Hackensack, NJ
National Provider Identifier
1609848977
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA06720900 Issued in NJ
Practice address
30 Prospect Ave
Hackensack, NJ 07601-1914
Phone
(201) 488-0066
Fax
(201) 488-6769
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA06720900 NJ Primary

Addresses

Primary practice location

30 Prospect Ave
Hackensack, NJ 07601-1914

Mailing address

PO Box 18914
Newark, NJ 07191-8914
Phone (201) 488-0066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, AZ, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050829000185 NJ Practitioner - Anesthesiology 8729991294 Reassigns benefits to 1 organization
I20120810000645 AZ Practitioner - Anesthesiology 8729991294 Reassigns benefits to 2 organizations
I20231127000125 NY Practitioner - Anesthesiology 8729991294 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay AnesthesiaGroup PAC ID 0446639306, 75 clinicians

Practice addresses (Care Compare)

2 Medical Park Dr
West Nyack, NY 10994-1965
Phone (201) 620-3010

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06720900NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Bariatric New Jersey PC CurrentSince Oct 1, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Oct 1, 2023 Accepting new patients
New York Bariatric Surgery Group PLLC CurrentSince Oct 1, 2025 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Mar 21, 2025 Accepting new patients
New York University CurrentSince Dec 1, 2025 Accepting new patients
Bay Anesthesia LLC Anesthesiology CurrentSince Feb 20, 2025 Accepting new patients
Centurion Midtown Anesthesia PLLC Anesthesiology CurrentSince Jan 31, 2025 Accepting new patients
New York University CurrentSince Dec 1, 2025 Accepting new patients
Valley Anesthesiology Consultants, Inc. Anesthesiology CurrentSince Mar 13, 2019 Accepting new patients
Acacia Anesthesia, PLLC CurrentSince Mar 1, 2019 Accepting new patients
Montefiore Medical Center Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients
New Jersey Healthcare Specialists PC Anesthesiology PastSince May 7, 2023 Accepting new patients
Lakes Anesthesia Anesthesiology Past Accepting new patients

Locations

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1500 S Dobson Rd
Ste 203
Mesa, AZ 85202
Phone (480) 512-3970

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760

645 E Missouri Ave
Ste 300
Phoenix, AZ 85012
Phone (602) 262-8917

2421 E Southern Ave
Ste 7
Tempe, AZ 85282
Phone (480) 832-3600

1121 Route 22
Ste 203
Bridgewater, NJ 08807
Phone (908) 237-7412

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1 W Ridgewood Ave
Ste G2
Paramus, NJ 07652
Phone (201) 652-1213

111 E 210th St
Bronx, NY 10467

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

11129 Queens Blvd
Forest Hills, NY 11375
Phone (718) 275-8900

8745 Lake Street Rd
Le Roy, NY 14482
Phone (585) 267-7570

305 E 47th St
New York, NY 10017
Phone (212) 203-8744

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

125 Mineola Ave
Ste 200
Roslyn Hts, NY 11577
Phone 5166165500800

2 Medical Park Dr
West Nyack, NY 10994
Phone (201) 620-3010

100 Corporate Dr
Ste 100
Yonkers, NY 10701
Phone (914) 378-6148

Networks

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

Interoperability endpoints

  • Direct secure messaging: axagoraris@montefioredirect.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1609848977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18914",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071918914",
            "telephone_number": "201-488-0066",
            "fax_number": "201-488-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011914",
            "telephone_number": "201-488-0066",
            "fax_number": "201-488-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XAGORARIS",
        "first_name": "ANDREAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA06720900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.