MR. XENOPHON STEPHEN SPEROS IV PA-C
NPI 1831932078
Physician Assistant - Surgical in Florham Park, NJ

Active since June 17, 2024PECOS EnrolledAccepts Medicare Assignment
140 PARK AVE, FLORHAM PARK, NJ 07932(973) 404-9700 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2024, Jun 17, 2024 (2 updates tracked since 2024).

About Mr. Xenophon Stephen Speros Iv Pa-c NPPES

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

MR. XENOPHON STEPHEN SPEROS IV PA-C (NPI 1831932078) is an individual surgical provider in Florham Park, New Jersey, licensed in New Jersey (25MP00859900) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Overlook Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1831932078
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. XENOPHON STEPHEN SPEROS IVCredential: PA-C
Location Address140 PARK AVEFlorham Park, NJ 07932-1049
Mailing Address45 Hillside RdElizabeth, NJ 07208-1245 · (908) 967-4737
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 17, 2024
Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
NPI 1831932078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NJ · 25MP00859900
140 PARK AVE, Florham Park, NJ 07932

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

Mr. Xenophon Stephen Speros Iv Pa-c 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.

PECOS PAC ID547700130
PECOS Enrollment IDI20240910002588
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Audiologist
140 PARK AVE
FLORHAM PARK, NJ 07932
Audiologist
140 PARK AVE
FLORHAM PARK, NJ 07932
Durable Medical Equipment & Medical Supplies
140 PARK AVE
FLORHAM PARK, NJ 07932
Internal Medicine (Pulmonary Disease)
140 PARK AVE
FLORHAM PARK, NJ 07932
Physical Therapist
140 PARK AVE
FLORHAM PARK, NJ 07932
Physician Assistant (Surgical)
140 PARK AVE
FLORHAM PARK, NJ 07932
Physical Therapist
140 PARK AVE
FLORHAM PARK, NJ 07932
Physical Therapist
140 PARK AVE
FLORHAM PARK, NJ 07932

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 Xenophon Speros's NPI number?

The NPI number for Xenophon Speros is 1831932078. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Xenophon Speros located?

Xenophon Speros practices at 140 Park Ave, Florham Park, NJ 07932. The listed phone number is (973) 404-9700.

What is Xenophon Speros's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Xenophon Speros enrolled in Medicare?

Yes. Xenophon Speros 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 Xenophon Speros affiliated with any hospitals?

According to CMS data, Xenophon Speros is affiliated with Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for Xenophon Speros was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.