Organization Active NPI

John S. Pantazopoulos, MD PA

  • Cardiovascular Disease Physician
  • Paramus, NJ
National Provider Identifier
1609946565
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA26211 Issued in NJ
Legal business name
JOHN S. PANTAZOPOULOS, MD PA
Practice address
1 Sears Dr
Suite 303
Paramus, NJ 07652-3515
Phone
(201) 262-9200
Fax
(201) 265-8680
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Dr. John S Pantazopoulos, M.D.
Title
President
Phone
(201) 262-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X MA26211 NJ Primary

Addresses

Primary practice location

1 Sears Dr
Suite 303
Paramus, NJ 07652-3515

Mailing address

1 Sears Dr
Suite 303
Paramus, NJ 07652-3515
Phone (201) 262-9200

National Provider Directory

National Provider Directory

Locations

1 Sears Dr
Ste 303
Paramus, NJ 07652
Phone (201) 262-9200

89 N Maple Ave
Ridgewood, NJ 07450
Phone (201) 444-6656

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1609946565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEARS DR",
            "address_2": "SUITE 303",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523515",
            "telephone_number": "201-262-9200",
            "fax_number": "201-265-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SEARS DR",
            "address_2": "SUITE 303",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523515",
            "telephone_number": "201-262-9200",
            "fax_number": "201-265-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S. PANTAZOPOULOS, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "PANTAZOPOULOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-262-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA26211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.