NICOLAS MAVROMOUSTAKOS
NPI 1003440504
Physician Assistant in Huntington, NY
About Nicolas Mavromoustakos NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLAS MAVROMOUSTAKOS (NPI 1003440504) is an individual physician assistant in Huntington, New York, licensed in New York (026722) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with St Francis-downtown, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicolas Mavromoustakos is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Francis-Downtown
Acute Care Hospitals · Greenville, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11743 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicolas Mavromoustakos's NPI number?
The NPI number for Nicolas Mavromoustakos is 1003440504. It was assigned to this individual provider in the NPPES registry on February 24, 2020.
Where is Nicolas Mavromoustakos located?
Nicolas Mavromoustakos practices at 14 Birch Ave, Huntington, NY 11743. The listed phone number is (631) 662-5714.
What is Nicolas Mavromoustakos's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Nicolas Mavromoustakos enrolled in Medicare?
Yes. Nicolas Mavromoustakos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Nicolas Mavromoustakos affiliated with any hospitals?
According to CMS data, Nicolas Mavromoustakos is affiliated with St Francis-Downtown.
When was this NPI record last updated?
The NPPES record for Nicolas Mavromoustakos was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nicolas Mavromoustakos · NPI 1003440504
Physician Assistant physician in Huntington, New York. Individual provider, active in the CMS NPPES registry since February 24, 2020.
## Identity
- **NPI:** 1003440504 (Entity type: Individual)
- **Enumerated:** February 24, 2020
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 026722 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14 BIRCH AVE, Huntington, NY 11743-4655
- **Phone:** (631) 662-5714
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1003440504) · Data from the CMS NPPES public registry.