Individual provider Active NPI

Stavros Thomas Snyder, M. D.

  • Cardiovascular Disease Physician
  • Staten Island, NY
National Provider Identifier
1780672410
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
150801-1 Issued in NY
Practice address
501 Seaview Ave
Staten Island, NY 10305-3400
Phone
(718) 683-3955
Fax
(718) 683-3744
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 150801-1 NY Primary

Addresses

Primary practice location

501 Seaview Ave
Staten Island, NY 10305-3400

Mailing address

97 New Dorp LN
Staten Island, NY 10306-2359
Phone (718) 876-6220

Other identifiers 1

IdentifierTypeStateIssuer
01209443MedicaidNY

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
I20040721001747 NY Practitioner - Cardiovascular Disease (Cardiology) 2769379809 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Tufts University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Medical Specialists, PLLCGroup PAC ID 9436137817, 4 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

2627 Hylan Blvd
Suite C
Staten Island, NY 10306-4344
Phone (718) 351-1136

2627 Hylan Blvd C
Staten Island, NY 10306-4344

375 Seguine Ave
Staten Island, NY 10309-3932
Phone (718) 351-1136

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (212) 434-6980

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
72.16 of 100Reported as group
Quality
39.71
Improvement activities
40
Cost
67.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
150801-1NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamid Lalani Medical PLLC CurrentSince May 8, 2024 Accepting new patients
North Shore-Lij Medical PC Cardiovascular Disease CurrentSince Apr 1, 2019 Accepting new patients
Prestige Y Corp CurrentSince Aug 1, 2024 Accepting new patients
Physicians of University Hospital, PC CurrentSince Jan 1, 2014 Accepting new patients
Island Medical Specialists, P.L.L.C. Cardiovascular Disease CurrentSince Feb 1, 2004 Accepting new patients
Physicians of University Hospital, PC CurrentSince Jan 1, 2014 Accepting new patients

Locations

4713 Church Ave
Brooklyn, NY 11203
Phone (631) 760-1932

228 Montrose Ave
Brooklyn, NY 11206
Phone (718) 284-7070

199 Highlawn Ave
Brooklyn, NY 11223
Phone (718) 759-6523

300 Community Dr
Plandome, NY 11030

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000

501 Seaview Ave
Ste 100
Staten Island, NY 10305
Phone (718) 351-1136

191 Bradley Ave
Staten Island, NY 10314
Phone (516) 558-3010

256 Mason Ave
Staten Island, NY 10305
Phone (718) 226-9508

375 Seguine Ave
#2
Staten Island, NY 10309
Phone (718) 226-2287

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

347 Edison St
Staten Island, NY 10306
Phone (718) 351-1136

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

501 Seaview Ave
Staten Island, NY 10305
Phone (718) 667-4700

375 Seguine Ave
Fl 1
Staten Island, NY 10309
Phone (718) 351-1136

97 New Dorp Ln
Ste A
Staten Island, NY 10306

Networks

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

Interoperability endpoints

  • Direct secure messaging: ssnyder3650485@nychhc.direct-ci.com
  • Direct secure messaging: stavrossnyder@imspllc.allscriptsdirect.net
  • Direct secure messaging: ssnyder64586@northwell.direct-ci.com

Organizations & group practices 6

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 2

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1780672410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062359",
            "telephone_number": "718-876-6220",
            "fax_number": "718-876-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053400",
            "telephone_number": "718-683-3955",
            "fax_number": "718-683-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "STAVROS",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "150801-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01209443",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.