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ANTONIOS TSOMPANIDIS DO PC
NPI 1619002490
Family Medicine in Hazlet, NJ

Active since February 22, 2007CLIA 31D0967359 · Waiver
1 BETHANY RD, SUITE 79, HAZLET, NJ 07730(732) 203-0800(732) 203-9494 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Antonios Tsompanidis Do Pc NPPES

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

ANTONIOS TSOMPANIDIS DO PC (NPI 1619002490) is a healthcare organization registered as a family medicine in Hazlet, New Jersey and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through November 9, 2027 and lists Antonios Tsompanidis, Owner, as its authorized official.

NPPES Registry Identity

NPI1619002490
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameANTONIOS TSOMPANIDIS DO PC
Location Address1 BETHANY RD, SUITE 79Hazlet, NJ 07730-1663
Mailing Address1 Bethany Rd, Suite 79Hazlet, NJ 07730-1663 · (732) 203-0800 · Fax (732) 203-9494
Phone(732) 203-0800
Fax(732) 203-9494
Organization SubpartNo
Authorized OfficialAntonios TsompanidisOwner · (732) 203-0800
Enumeration DateFebruary 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619002490 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 · 25MB06310800
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.
1 BETHANY RD, Hazlet, NJ 07730
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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)

Antonios Tsompanidis Do Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Antonios Tsompanidis Do PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Dinamarie Perrino, D.O.
Family Practice
NPI 1932277332
1 BETHANY RD SUITE 79
Hazlet, NJ 07730
(732) 203-0800
✔ PECOSSame address
Antonios Tsompanidis, D.O.
Family Practice
NPI 1679646608
1 BETHANY RD SUITE 79
Hazlet, NJ 07730
(732) 203-0800
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0967359

Antonios Tsompanidis Do PC · Hazlet, NJ
Active · expires Nov 9, 2027
CLIA Number31D0967359
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2025
Certificate Expiration DateNovember 9, 2027
Laboratory DirectorAntonios Tsompanidis Do
Laboratory Phone(732) 203-0800
Laboratory LocationAntonios Tsompanidis Do PC1 Bethany Road Suite 79, Hazlet, NJ 07730
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Antonios Tsompanidis Do PC's NPI number?

The NPI number for Antonios Tsompanidis Do PC is 1619002490. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Antonios Tsompanidis Do PC located?

Antonios Tsompanidis Do PC is located at 1 Bethany Rd Suite 79, Hazlet, NJ 07730. The listed phone number is (732) 203-0800.

What is Antonios Tsompanidis Do PC's specialty?

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

Is Antonios Tsompanidis Do PC enrolled in Medicare?

Yes. Antonios Tsompanidis Do PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Antonios Tsompanidis Do PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Antonios Tsompanidis Do PC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Antonios Tsompanidis Do PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0967359) is associated with this NPI, valid through November 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Antonios Tsompanidis Do PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.