Antonios J Tsompanidis, D.O.
Individual provider Active NPI Family Medicine Physician · Hazlet, NJ
NPI 1679646608 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679646608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 25MB06310800 (NJ)
- Practice address
- 1 Bethany Rd
Suite 79
Hazlet, NJ 07730-1663 - Phone
- (732) 203-0800
- Fax
- (732) 203-9494
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Rowan University School of Osteopathic Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1 Bethany Rd
Suite 79
Hazlet, NJ 07730-1668
Phone (732) 203-0800
Hospital & facility affiliations
- Hackensack Meridian at Home Monmouth County
- Bayshore Medical Center
- Riverview Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101102000795 | NJ | Practitioner - Family Practice | 9830383066 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Hospital Opco LLC | Current | Accepting new patients | |
| Antonios Tsompanidis DO PC | Family Medicine | Current |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1 Bethany Rd
Ste 79
Hazlet, NJ 07730
Phone (732) 203-0800
Interoperability endpoints
- antonios.tsompanidis@direct.christhospital.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MB06310800 | NJ | Yes |
Addresses
Primary practice location
1 Bethany Rd
Suite 79
Hazlet, NJ 07730-1663
Mailing address
1 Bethany Road
Suite 79
Hazlet, NJ 07730-1668
Phone (732) 203-0800
Other providers in Hazlet, NJ
- Sara Nicole Toth
- Cheung K Tsang
- Chinchia Eric Tsao
- Erica Tsao
- Judy Yh Tsao
- Kimberly Paige Tuccillo
- Jessica Turro
- Sydney Tuzzo
- Jaspreet Singh Uppal
- Parveen Uppal
All providers in Hazlet, NJ · Family Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.