Individual provider Active NPI

Vassilios Tsafos

  • Anesthesiology Physician
  • Stony Brook, NY
National Provider Identifier
1902195217
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA09690600 Issued in NJ
Practice address
100 Nicolls Road
Stony Brook University Medical Center, Dept of Anesthes
Stony Brook, NY 11794-8480
Phone
(631) 444-2975
Fax
(631) 444-2907
NPI assigned
Apr 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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 25MA09690600 NJ Primary

Addresses

Primary practice location

100 Nicolls Road
Stony Brook University Medical Center, Dept of Anesthes
Stony Brook, NY 11794-8480

Mailing address

100 Nicolls Road
Stony Brook University Medical Center, Dept of Anesthes
Stony Brook, NY 11794-8480
Phone (631) 444-2975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20150730011909 NJ Practitioner - Anesthesiology 0648584920 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Albany Medical College of Union University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Healthcare Specialists PCGroup PAC ID 2668385253, 570 clinicians
Holy Name Anesthesia PartnersGroup PAC ID 6204167976, 30 clinicians

Practice addresses (Care Compare)

40 Prospect Ave
Hackensack, NJ 07601-1915
Phone (954) 939-5000

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-2300

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09690600NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Center for Endoscopy, LLC CurrentSince Dec 25, 2020 Accepting new patients
New Jersey Healthcare Specialists PC Anesthesiology CurrentSince Sep 1, 2024 Accepting new patients
Morris Anesthesia Group, PA CurrentSince Aug 1, 2015 Accepting new patients
Holy Name Anesthesia Partners Anesthesiology CurrentSince Nov 1, 2019 Accepting new patients
Morris Anesthesia Group, PA Anesthesiology CurrentSince Aug 1, 2015 Accepting new patients
Coastal Surgery Center, LLC Past Accepting new patients

Locations

495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

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

40 Prospect Ave
Hackensack, NJ 07601
Phone (551) 309-1700

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
Fl 4
North Bergen, NJ 07047
Phone (201) 295-4805

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

Organizations & group practices 7

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 4

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": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1902195217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NICOLLS ROAD",
            "address_2": "STONY BROOK UNIVERSITY MEDICAL CENTER, DEPT OF ANESTHES",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948480",
            "telephone_number": "631-444-2975",
            "fax_number": "631-444-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NICOLLS ROAD",
            "address_2": "STONY BROOK UNIVERSITY MEDICAL CENTER, DEPT OF ANESTHES",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948480",
            "telephone_number": "631-444-2975",
            "fax_number": "631-444-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAFOS",
        "first_name": "VASSILIOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-07",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA09690600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.