Stefanos G Pantagis (NPI# 1235212879, PAC ID# 2163318783) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GERIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1235212879 |
| PAC ID by PECOS | 2163318783 |
| Professional Enrollment ID | I20040223000286 |
| Full Name | Stefanos G Pantagis |
| Organization Legal Name | GERIATRICS AND LONGEVITY TREATMENT SPECIALIST, PC |
| Address |
810 Main St Hackensack NJ 07601-4847 |
| Phone Number | 2016337375 |
| Gender | M |
| Credential | MD |
| Medical School | UMDNJ-ROBERT WOOD JOHNSON MEDICAL SCHOOL |
| Graduation Year | 1994 |
| Primary Specialty | GERIATRIC MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 3072787308 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310012 | VALLEY HOSPITAL |
| 310045 | ENGLEWOOD HOSPITAL AND MEDICAL CENTER |
| 310001 | HACKENSACK UNIVERSITY MEDICAL CENTER |
| 310130 | HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL |
| 310008 | HOLY NAME MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 810 Main St, Hackensack, NJ 07601-4847 | 2016337375 | GERIATRICS AND LONGEVITY TREATMENT SPECIALIST, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_204_overall | Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet | 21% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 4% |
| Organization Legal Name | GERIATRICS AND LONGEVITY TREATMENT SPECIALIST, PC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren A Carucci | Nurse Practitioner | Geriatrics and Longevity Treatment Specialist, PC | 810 Main St, Hackensack, NJ 07601-4847 |
| Beverly Piparo | Clinical Social Worker | Geriatrics and Longevity Treatment Specialist, PC | 810 Main St, Hackensack, NJ 07601-4847 |
| Dana A Hayes | Clinical Social Worker | Geriatrics and Longevity Treatment Specialist, PC | 810 Main St, Hackensack, NJ 07601-4847 |
| Tamar Shicly | Nurse Practitioner | Geriatrics and Longevity Treatment Specialist, PC | 810 Main St, Hackensack, NJ 07601-4847 |
| Lorna B Pazziuagan | Nurse Practitioner | Geriatrics and Longevity Treatment Specialist, PC | 810 Main St, Hackensack, NJ 07601-4847 |
| Mary Ann Schran | Internal Medicine | Geriatrics and Longevity Treatment Specialist, PC | 810 Main St, Hackensack, NJ 07601-4847 |
| Clare E Rovito | Nurse Practitioner | Geriatrics and Longevity Treatment Specialist, PC | 810 Main St, Hackensack, NJ 07601-4847 |
| Jessica P Ortiz | Nurse Practitioner | Geriatrics and Longevity Treatment Specialist, PC | 810 Main St, Hackensack, NJ 07601-4847 |
| Michael D Abbey | Nurse Practitioner | Geriatrics and Longevity Treatment Specialist, PC | 810 Main St, Hackensack, NJ 07601-4847 |
| Jacqueline L Baumrind | Registered Dietitian Or Nutrition Professional | Geriatrics and Longevity Treatment Specialist, PC | 810 Main St, Hackensack, NJ 07601-4847 |
| Street Address |
810 MAIN ST |
| City | HACKENSACK |
| State | NJ |
| Zip | 07601-4847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren A Carucci | Nurse Practitioner | Geriatrics and Longevity Treatment Specialist, PC | 810 Main St, Hackensack, NJ 07601-4847 |
| Laurel E Hare | Chiropractic | 810 Main St, Neodesha, KS 66757-1673 | |
| Beverly Piparo | Clinical Social Worker | Geriatrics and Longevity Treatment Specialist, PC | 810 Main St, Hackensack, NJ 07601-4847 |
| Dana A Hayes | Clinical Social Worker | Geriatrics and Longevity Treatment Specialist, PC | 810 Main St, Hackensack, NJ 07601-4847 |
| Melissa M Lackey | Oral Surgery | Melrose Wakefield Oral Surgery Inc | 810 Main St, Melrose, MA 02176-2711 |
| Tamar Shicly | Nurse Practitioner | Geriatrics and Longevity Treatment Specialist, PC | 810 Main St, Hackensack, NJ 07601-4847 |
| Lorna B Pazziuagan | Nurse Practitioner | Geriatrics and Longevity Treatment Specialist, PC | 810 Main St, Hackensack, NJ 07601-4847 |
| Bart F Blaeser | Maxillofacial Surgery | Melrose Wakefield Oral Surgery Inc | 810 Main St, Melrose, MA 02176-2711 |
| Ilya Garibyan | Oral Surgery | Melrose Wakefield Oral Surgery Inc | 810 Main St, Melrose, MA 02176-2711 |
| Mary Ann Schran | Internal Medicine | Geriatrics and Longevity Treatment Specialist, PC | 810 Main St, Hackensack, NJ 07601-4847 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise Kimberly Rozzelle | Nurse Practitioner | Housecalls for The Homebound Medicine Nj PC | 2 University Plaza Dr, Suite 204, Hackensack, NJ 07601 |
| Robert Mateo | Nurse Practitioner | 2 University Plaza Dr, Suite 204, Hackensack, NJ 07601 | |
| Geraldine Charles | Nurse Practitioner | Housecalls for The Homebound Medicine Nj PC | 2 University Plaza Dr, Suite 204, Hackensack, NJ 07601 |
| David J Bikoff | Plastic and Reconstructive Surgery | 146 Rt 17, 3rd Floor, Hackensack, NJ 07601-1038 | |
| John J Vaccaro | Plastic and Reconstructive Surgery | 146 N State Rt, Suite 3, Hackensack, NJ 07601-1038 | |
| Arie Rosen | Otolaryngology | 2 S Summit Ave, Hackensack, NJ 07601-1117 | |
| Jeffrey Schlesinger | Chiropractic | 5 Summit Ave, Suite 101, Hackensack, NJ 07601-1214 | |
| Rey I Pella | Nurse Practitioner | Mulkay Cardiology Consultants At Holy Name Medical Center, PC | 493 Essex St, Hackensack, NJ 07601-1215 |
| Julie Y An | Nurse Practitioner | Mulkay Cardiology Consultants At Holy Name Medical Center, PC | 493 Essex St, Hackensack, NJ 07601-1215 |
| Joseph C Yu | Cardiovascular Disease (cardiology) | Mulkay Cardiology Consultants At Holy Name Medical Center, PC | 493 Essex St, Hackensack, NJ 07601-1215 |
| Find all physicians in zip 07601 | |||
| City | HACKENSACK |
| Zip Code | 07601 |
| Specialty | GERIATRIC MEDICINE |
| City + Specialty | HACKENSACK + GERIATRIC MEDICINE |
Please comment or provide details below to improve the information on Stefanos G Pantagis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.