Theofanis P Zois, RPA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

14896 Issued in NY

Practice address

110 Union PL
Lynbrook, NY 11563-4126

Phone

(516) 599-2914

NPI assigned

Jul 20, 2011

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1962790279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 UNION PL",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115634126",
            "telephone_number": "516-599-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 UNION PL",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115634126",
            "telephone_number": "516-599-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOIS",
        "first_name": "THEOFANIS",
        "middle_name": "P",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "14896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Z-Net Diagnostic Cardiology PC
• Mohammed Zaman
• Jacqueline Elaine Zamani, D.D.S.
• Lizbeth Zavala
• Zen & Body LLC
• Jacob J. Zong, LAC
• Kerry Zorn, RD, CDE
• Ronni M Zorn, D.C.
• Henry Michael Zupnick, MD
• Stanley Richard Zwick, PSY.D.

• Surgical Physician Assistant in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.