NPIMap

Individual provider Active NPI

John Sotiriadis, MD, PHD

  • Gastroenterology Physician
  • North Bergen, NJ
National Provider Identifier
1659578664
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA08391400 Issued in NJ
Practice address
9226 Kennedy Blvd
North Bergen, NJ 07047-5312
Phone
(201) 869-9500
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA08391400 NJ Primary

Addresses

Primary practice location

9226 Kennedy Blvd
North Bergen, NJ 07047-5312

Mailing address

9226 Kennedy Blvd
North Bergen, NJ 07047-5312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100428000667 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 4385771013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Chicago College of Medicine and Surgery, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Associates of New Jersey LLCGroup PAC ID 4284706656, 78 clinicians

Practice addresses (Care Compare)

301 Lakehurst Rd
Toms River, NJ 08755-7335
Phone (732) 281-1590

308 Willow Ave
Hoboken, NJ 07030-3808
Phone (201) 869-9500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.92 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
83.07

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy37
Upper gastrointestinal (GI) endoscopy for acid reflux65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
Gastroenterology Associates of New Jersey, LLC Gastroenterology CurrentSince Apr 1, 2024 Accepting new patients
Peter Caride MD LLC Gastroenterology CurrentSince May 1, 2010 Accepting new patients
Ambulatory Center for Endoscopy, LLC Past Accepting new patients

Locations

9226 Kennedy Blvd
Ste A
North Bergen, NJ 07047
Phone (201) 869-9500

9226 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 295-0900

9226 Kennedy Blvd
Unit A
North Bergen, NJ 07047
Phone (201) 295-0900

7600 River Rd
#4
North Bergen, NJ 07047

301 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590

205 Browertown Rd
Woodland Park, NJ 07424
Phone (973) 785-8888

1130 McBride Ave
Fl 3
Woodland Park, NJ 07424
Phone (973) 785-2277

205 Browertown Rd
Ste 201
Woodland Park, NJ 07424
Phone (201) 796-8860

Interoperability endpoints

  • Direct secure messaging: john.sotiriadis@ganj.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA
  • Direct secure messaging: john.sotiriadis@direct.hobokenumc.md

Organizations & group practices 4

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 5

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1659578664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9226 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9226 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475312",
            "telephone_number": "201-869-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTIRIADIS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA08391400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.