CHS PHYSICIAN PARTNERS, PC (NPI# 1063757359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063757359 |
| Entity Type | Organization |
| Organization Name | CHS PHYSICIAN PARTNERS, PC |
| Practice Address |
100 Port Washington Blvd Suite G03 Roslyn NY 11576-1347 |
| Mailing Address |
Po Box 95000-6625 Philadelphia PA 19195-6625 |
| Practice Telephone | 5163656444 |
| Practice Fax Number | 5163656446 |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | DR. JACK SOTERAKIS (PRESIDENT) |
| Authorized Official Telephone | 5165626231 |
| Authorized Official Credential | MD. |
| Is Organization Subpart | Y |
| Parent Organization Name | CHS PHYISICIAN PARTNERS, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
167965 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| INTERVENTIONAL CARDIOVASCULAR ASSOCIATES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124497771 | Chs Physician Partners, PC | Anesthesiology | 2200 Northern Blvd, Greenvale, NY 11548-1219 | 2015-09-24 |
| 1942617014 | Chs Physician Partners, PC | Internal Medicine | 250 Pettit Ave, Bellmore, NY 11710-3657 | 2014-07-21 |
| 1245656073 | Chs Physician Partners, PC | Internal Medicine | 207 Glen Cove Ave, Suite B, Sea Cliff, NY 11579-1455 | 2014-03-18 |
| 1619315975 | Chs Physician Partners, PC | Internal Medicine | 1703 Merrick Ave, Merrick, NY 11566-1628 | 2013-06-10 |
| 1912344250 | Chs Physician Partners, PC | Family Medicine | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2013-05-28 |
| 1992048342 | Chs Physician Partners, PC | Internal Medicine | 510 Hicksville Rd, Massapequa, NY 11758-1203 | 2013-04-04 |
| 1619210713 | Chs Physician Partners, PC | Internal Medicine | 400 Garden City Plz, Garden City, NY 11530-3322 | 2013-03-27 |
| 1235470535 | Chs Physician Partners, PC | Orthopaedic Surgery | 877 Stewart Ave, Suite 1, Garden City, NY 11530-4803 | 2013-03-12 |
| 1376889386 | Chs Physician Partners, PC | Internal Medicine | 923 Broadway, Woodmere, NY 11598-1739 | 2012-12-19 |
| 1710222096 | Chs Physician Partners, PC | Internal Medicine | 1490 Broadway, 2nd Floor, Hewlett, NY 11557-1432 | 2012-11-28 |
| Street Address |
100 PORT WASHINGTON BLVD SUITE G03 |
| City | ROSLYN |
| State | NY |
| Zip Code | 11576-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768624 | Jack Soterakis | Internal Medicine | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2005-05-23 |
| 1700499779 | Olivia Paige Omage | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2020-08-28 |
| 1871101006 | Mark Granados | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-07-14 |
| 1871110692 | Nicole Amanda Waxner | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-06-27 |
| 1710509062 | Allison L Chan | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-05-09 |
| 1730715269 | Sreeja Nair | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2020-03-16 |
| 1871127027 | Laura Grace Krukowski | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576 | 2020-02-26 |
| 1518591015 | Punam Patel | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-02-24 |
| 1306486196 | Brendan Heitz | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-01-09 |
| 1740829613 | Johanna Eve Schwartz | Social Worker | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2019-12-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075998 | Haley W Feit | Optometrist | 1085 Northern Blvd, Roslyn, NY 11576 | 2019-10-25 |
| 1346765187 | Fern Wendi Schanback | Counselor | 24 Mackay Way, Roslyn, NY 11576 | 2017-08-12 |
| 1932577574 | Soma Fit Physical Therapy Pllc | Physical Therapist | 55 Lumber Rd, Suite 105, Roslyn, NY 11576 | 2015-09-14 |
| 1679953699 | Linda D.r. Miller | Speech-Language Pathologist | 7 Woodland Road, Roslyn, NY 11576 | 2015-06-04 |
| 1629463450 | Angela Maria Taveras | Social Worker | 141 Old Northern Blvd, Rosalyn, NY 11576 | 2015-03-30 |
| 1043594922 | Robin Hananel | Speech-Language Pathologist | 29 The Oaks, Roslyn, NY 11576 | 2011-10-10 |
| 1073838207 | Lucille A Barker | Occupational Therapist | 1441old Northern Blvd, Roslyn, NY 11576 | 2010-03-31 |
| 1518100163 | Robert Eugene Goldberger | Surgery | 4 The Birches, Roslyn, NY 11576 | 2009-04-13 |
| 1336388461 | Sarah Lamattina | Counselor | 1441 Old Northern Boulevard, Roslyn, NY 11576 | 2009-02-12 |
| 1508001553 | Leslie Jane Brownstein | Speech-Language Pathologist | 174 Mimosa Drive, Roslyn, N.y 11576, New York City, NY 11576 | 2008-12-04 |
| Find all providers in zip 11576 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770641755 | Joseph W Szczesniak | Internal Medicine | 1077 Northern Blvd, Roslyn, NY 11576-1614 | 2006-12-04 |
| 1306897541 | Theofanis Tsiamtsiouris | Internal Medicine | 100 Port Washington Blvd Ste 105, Roslyn, NY 11576 | 2006-05-12 |
| 1770845851 | Aman Mayur Shah | Internal Medicine | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2012-06-13 |
| 1669776902 | Gurinder Singh Rana | Internal Medicine | 100 Port Washington Blvd, Dept of Pulmonary/critical Care Medicine - St Francis H, Roslyn, NY 11576-1347 | 2010-12-30 |
| 1447552583 | Andrew D. Berke, M.d., P.C. | Internal Medicine | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2010-11-22 |
| 1639494479 | Evan Scott Shlofmitz | Internal Medicine | 100 Port Washington Blvd Ste 105, Roslyn, NY 11576-1347 | 2010-04-05 |
| 1093040610 | Aimee Cowan | Internal Medicine | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2009-10-15 |
| 1235305442 | Gary R Friedman Md PC | Internal Medicine | 1044 Northern Blvd, Suite 303, Roslyn, NY 11576-1514 | 2008-05-07 |
| 1023156916 | Patrick J. Monteleone, M.d. PC | Internal Medicine | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2007-02-02 |
| 1619034527 | Jie Jane Cao | Internal Medicine | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2007-01-02 |
| Find all providers in ROSLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.