James Nicholas Semertzides, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

1858851 Issued in NY

Practice address

285 Sills Road
Building 14
East Patchogue, NY 11772-4869

Phone

(631) 447-8300

Fax

(631) 447-8872

NPI assigned

Apr 22, 2006

Last updated

Jun 25, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brookhaven Memorial Hospital Medical Center, Inc.

  dba Brookhaven Memorial Hospital Palliative Care Dept.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Patchogue, NY
  • NPI 1417232760
  Medicare reassignment NPD
• New York University

  dba NYU Faculty Group Practice

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  NY

  Medicare reassignment NPD
• Patchogue Cardiology Associates PC

  dba Long Island Cardiology Associates

  • Cardiovascular Disease Physician
  • East Patchogue, NY
  • NPI 1912298563
  Authorized official Same address or phone
• Brookhaven Memorial Hospital Medical Center, Inc.

  dba Long Island Community Hospital

  • Physician Assistant
  • Patchogue, NY
  • NPI 1487843090
  NPD
• Long Island Community Hospital at NYU Langone Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shirley, NY
  • NPI 1902029796
  NPD
• New York University

  dba NYU Langone Ambulatory Care Chelsea

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613

  Cardiovascular Disease

  NPD
• Long Island Cardiology Associates, LLP

  • Cardiovascular Disease Physician
  • East Patchogue, NY
  • NPI 1194858019
  NPD (past)
• Medical Group of Mineola, PC

  dba Winthrop Psychiatry Group

  • Psychiatry Physician
  • Mineola, NY
  • NPI 1255798096
  NPD (past)
• Shahriar J Khalili MD PC

  • Cardiovascular Disease Physician
  • E Patchogue, NY
  • NPI 1598913568
  NPD (past)
• Winthrop Community Medical Affiliates PC

  dba NYU Winthrop Medical Affiliates

  • Internal Medicine Physician
  • Mineola, NY
  • NPI 1457873077

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1932165560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SILLS ROAD",
            "address_2": "BUILDING 14",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724869",
            "telephone_number": "631-447-8300",
            "fax_number": "631-447-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SILLS ROAD",
            "address_2": "BUILDING 14",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724869",
            "telephone_number": "631-447-8300",
            "fax_number": "631-447-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMERTZIDES",
        "first_name": "JAMES",
        "middle_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "1858851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01377426",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Itchak Schwarzbard, M.D.
• Christopher Robert Schwenker, P.T.
• Frank T Sconzo Jr., M.D.
• Kareena Seaton, LMHC CASAC-T
• Barbra J Seltzer, DDS
• Keriake Semertzides, D.O.
• Kinal Hemang Shah
• Sweta Shah, RDN
• Shawn Patrick Shannon, DMD
• Daniel Shapiro, MD, FAAPMR

• Cardiovascular Disease Physician in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.