DR. STEFANOS PANTAGIS


Address: 810 Main St, Hackensack, NJ 07601-4847
Phone: 2016337375

DR. STEFANOS PANTAGIS (NPI# 1235212879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235212879
Entity Type Individual
Full Name DR. STEFANOS PANTAGIS
Credential MD
Practice Address 810 Main St
Hackensack
NJ 07601-4847
Mailing Address 164 Winthrop Pl
Englewood
NJ 07631-3054
Practice Telephone 2016337375
Practice Fax Number 2016337361
Mailing Telephone 2016337375
Mailing Fax Number 2016337361
Enumeration Date 2006-10-24
Last Update Date 2014-02-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine MA64903 NJ Allopathic & Osteopathic Physicians
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
MA64903 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 6818706 05

Office Location

Street Address 810 MAIN ST
City HACKENSACK
State NJ
Zip Code 07601-4847

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285278168 Dentacare, PC Clinic/Center 810 Main St, Hackensack, NJ 07601-4847 2019-11-04
1255973137 Beverly Piparo Social Worker 810 Main St, Hackensack, NJ 07601-4847 2019-10-12
1700361698 Jessica Ortiz Nurse Practitioner 810 Main St, Hackensack, NJ 07601-4847 2018-09-26
1457840134 Lorna Beltran Pazziuagan Nurse Practitioner 810 Main St, Hackensack, NJ 07601-4847 2018-05-08
1306121504 Geriatrics and Longevity Treatment Specialist, PC Family Medicine 810 Main St, Hackensack, NJ 07601-4847 2011-10-19
1831286855 Gregory Edward Avedikian Dentist 810 Main St, Hackensack, NJ 07601-4847 2006-10-10
1124124425 Salvatore J Forcina Surgery 810 Main St, Hackensack, NJ 07601 2006-09-15
1871573824 Zahra R Hosseini Dentist 810 Main St, Hackensack, NJ 07601-4847 2006-01-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750989414 Alpha Healthcare Staffing Firm, LLC Registered Nurse 194 Passaic Street, Hackensack, NJ 07601 2020-10-15
1396350120 Lower Limb Institute Podiatrist 211 Esses Street, Suite 405, Hackesack, NJ 07601 2020-09-09
1649825233 Rachel Korenblit Social Worker 235 Main St Ste 203, Hackensack, NJ 07601 2019-08-09
1740846567 Samantha Pirnat Counselor 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 2019-05-16
1881258499 Tara Lynn Smith Social Worker 160 South River Street, Hackensack, NJ 07601 2019-04-29
1922569318 Solomon Isakov Dentist 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 2019-03-27
1114403409 Mildred Lopez Vasquez Home Health Aide 12 Rowland Avenue, Hackensack, NJ 07601 2018-07-19
1538656582 Zara Pharmacy LLC Pharmacy 57 Linden St, Hackensack, NJ 07601 2018-04-16
1447759048 Maryann Hom Social Worker 307 Prospect Avenue, 14e, Hackensack, NJ 07601 2018-02-08
1699274258 Kirsten Byrnes Psychologist Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 2018-02-08
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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306121504 Geriatrics and Longevity Treatment Specialist, PC Family Medicine 810 Main St, Hackensack, NJ 07601-4847 2011-10-19
1528353273 Soo Chong Kim Family Medicine 360 Essex St Ste 401, Hackensack, NJ 07601 2011-06-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538643150 Gemini Health and Rehabilitation, LLC Family Medicine 51 Kinglet Dr S, Cranbury, NJ 08512-2133 2018-09-19
1962820365 Kledia Blloshmi Family Medicine 435 South St Ste 390, Morristown, NJ 07960 2014-04-02
1891124996 Best Doctors LLC Family Medicine 98 James St Ste 103, Edison, NJ 08820-3902 2013-11-08
1346582103 Frank A.e Bonifacio Family Medicine 87 Waterman Ave, Rumson, NJ 07760-2038 2013-03-20
1497090872 Health Sympl Inc. Family Medicine 2709 Route 130, Cranbury, NJ 08512-3137 2012-12-11
1700174166 Dennie Bryant Family Medicine 91 Kingsbridge Dr, Lumberton, NJ 08048-5033 2011-07-19
1720234982 Visiting Doctors of New Jersey, LLC Family Medicine 1421 Summit Avenue, Toms River, NJ 08753 2008-08-07
1497959696 Zareen Taj Syed Family Medicine 629 Amboy Ave Fl 3, 302, Edison, NJ 08837-3579 2007-06-12
1396954145 Gretchen B. Fahrenbruch Family Medicine 54 Montgomery St, Princeton Jct, NJ 08550-1335 2007-05-21
1114060647 Joseph F Dougherty Family Medicine 17 Emerson Dr, Cinnaminson, NJ 08077-4059 2007-02-15
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Competitor

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City HACKENSACK
Zip Code 07601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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