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NEW JERSEY KEYSTONE PHYSICIANS,LLC
NPI 1457547887
Family Medicine in Ridgewood, NJ

Active since September 19, 2007
1200 E RIDGEWOOD AVE, WEST WING, SECOND FLOOR, RIDGEWOOD, NJ 07450(201) 447-3690(201) 447-3691 Get Directions Write a Review

NPPES record last updated: May 28, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About New Jersey Keystone Physicians,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW JERSEY KEYSTONE PHYSICIANS,LLC (NPI 1457547887) is a healthcare organization registered as a family medicine in Ridgewood, New Jersey and active in the NPI registry since September 2007. The organization lists Tina Panagiotou, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1457547887
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNEW JERSEY KEYSTONE PHYSICIANS,LLC
Location Address1200 E RIDGEWOOD AVE, WEST WING, SECOND FLOORRidgewood, NJ 07450-3957
Mailing AddressPo Box 115Ridgewood, NJ 07451-0115 · (201) 447-3690 · Fax (201) 447-3691
Phone(201) 447-3690
Fax(201) 447-3691
Organization SubpartNo
Authorized OfficialTina PanagiotouOffice Manager · (201) 447-3690
Enumeration DateSeptember 19, 2007
Last NPPES UpdateMay 28, 2013
✔ NPI 1457547887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MAO7320300
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1200 E RIDGEWOOD AVE, Ridgewood, NJ 07450
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Other Identifiers 1

Other087299NJ · Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New Jersey Keystone Physicians,llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to New Jersey Keystone Physicians,llc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nicholas Panagiotou, M.D, PH.D., M.S.
Family Practice
NPI 1316987019
385 SOUTH MAPLE AVE SUITE 107
Ridgewood, NJ 07450
(201) 447-3690
✔ PECOS✔ Accepts Medicare1.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 New Jersey Keystone Physicians,llc's NPI number?

The NPI number for New Jersey Keystone Physicians,llc is 1457547887. It was assigned to this organization in the NPPES registry on September 19, 2007.

Where is New Jersey Keystone Physicians,llc located?

New Jersey Keystone Physicians,llc is located at 1200 E Ridgewood Ave West Wing, Second Floor, Ridgewood, NJ 07450. The listed phone number is (201) 447-3690.

What is New Jersey Keystone Physicians,llc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is New Jersey Keystone Physicians,llc enrolled in Medicare?

Yes. New Jersey Keystone Physicians,llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Jersey Keystone Physicians,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to New Jersey Keystone Physicians,llc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for New Jersey Keystone Physicians,llc was last updated on May 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.