CHS PHYSICIAN PARTNERS, PC (NPI# 1659502425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659502425 |
| Entity Type | Organization |
| Organization Name | CHS PHYSICIAN PARTNERS, PC |
| Other Organization Name | SOUTH BAY CARDIOVASCULAR ASSOCIATES |
| Practice Address |
540 Union Blvd West Islip NY 11795 |
| Mailing Address |
Po Box 95000-6625 Philadelphia PA 19195-6625 |
| Practice Telephone | 6316692555 |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | JACK SOTERAKIS (PRESIDENT) |
| Authorized Official Telephone | 5165626231 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CHS PHYSICIAN PARTNERS, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
107338 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| South Bay 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 |
540 UNION BLVD |
| City | WEST ISLIP |
| State | NY |
| Zip Code | 11795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407833353 | Gonzalo M Saravi | Internal Medicine | 540 Union Blvd, West Islip, NY 11795-3105 | 2005-12-30 |
| 1689130601 | Edward Francis Kane | Physician Assistant | 540 Union Blvd, West Islip, NY 11795-3105 | 2019-02-14 |
| 1447739388 | Kelly Ann Toolan | Nurse Practitioner | 540 Union Blvd, West Islip, NY 11795-3105 | 2018-08-10 |
| 1255885976 | Elise Aufiero | Nurse Practitioner | 540 Union Blvd, West Islip, NY 11795 | 2016-08-10 |
| 1649601758 | Eileen Alessandro | Nurse Practitioner | 540 Union Blvd, West Islip, NY 11795-3105 | 2013-11-29 |
| 1699102814 | Catherine Joy Feliciano | Nurse Practitioner | 540 Union Blvd, West Islip, NY 11795-3105 | 2013-10-02 |
| 1881034858 | Melissa Ashley Fengler | Registered Nurse | 540 Union Blvd, West Islip, NY 11795-3105 | 2013-07-05 |
| 1235575093 | Jennifer B Trascoy | Nurse Practitioner | 540 Union Blvd, West Islip, NY 11795-3105 | 2013-05-20 |
| 1871847210 | Camille Colletti | Nurse Practitioner | 540 Union Blvd, West Islip, NY 11795-3105 | 2012-11-07 |
| 1710247549 | Wilbur Jeremiah Asheld | Internal Medicine | 540 Union Blvd, West Islip, NY 11795-3105 | 2012-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790843 | Aparna Kaleeckal Rajalakshmi | Student in an Organized Health Care Education/Training Program | 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 | 2020-04-28 |
| 1164087375 | South Shore Medical Services Pllc | Physician Assistant | 1175 Montauk Kwy, Suite 6, West Islip, NY 11795 | 2019-05-02 |
| 1841656030 | Asnis Dental Pllc | Dentist | 440 Montauk Highway, West Islip, NY 11795 | 2016-01-05 |
| 1376913731 | Erik Walter | Physician Assistant | 434 Union Blvd, West Islip, NY 11795 | 2015-09-29 |
| 1902202302 | Cathleen Degarmo | Specialist | 524 Everdell Ave, West Islip, NY 11795 | 2014-11-12 |
| 1902201098 | Caitlin Henderson | Nurse Practitioner | 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 | 2014-10-31 |
| 1497182752 | Alyssa C Cervini | Social Worker | 145 Higbie Ln, West Islip, NY 11795 | 2013-10-02 |
| 1174966485 | John George Egner | Specialist | 1 Kennedylane, W Islip, NY 11795 | 2013-04-17 |
| 1902155369 | Timothy George M.d., P.C. | Pediatrics | 239 Higbie Lane, West Islip, NY 11795 | 2012-08-31 |
| 1124387824 | Dawn Marie Coughlin | Speech-Language Pathologist | 50 Cedar Point Drive, West Islip, NY 11795 | 2012-05-15 |
| Find all providers in zip 11795 | ||||
| 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 |
|---|---|---|---|---|
| 1407833353 | Gonzalo M Saravi | Internal Medicine | 540 Union Blvd, West Islip, NY 11795-3105 | 2005-12-30 |
| 1710247549 | Wilbur Jeremiah Asheld | Internal Medicine | 540 Union Blvd, West Islip, NY 11795-3105 | 2012-05-27 |
| 1669748067 | Robert Cesare D'avino Jr. | Internal Medicine | 540 Union Blvd, West Islip, NY 11795-3105 | 2012-03-29 |
| 1679872824 | Uschi Chantal Auguste | Internal Medicine | 540 Union Blvd, West Islip, NY 11795-3105 | 2011-03-26 |
| 1902110778 | John Bello | Internal Medicine | 540 Union Blvd, West Islip, NY 11795-3105 | 2010-08-03 |
| 1528386810 | St. Francis Hospital | Internal Medicine | 540 Union Blvd, West Islip, NY 11795 | 2010-05-11 |
| 1457501496 | V. William Caracci | Internal Medicine | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2008-09-26 |
| 1699935973 | John Joseph Wilbur Asheld IIi | Internal Medicine | 540 Union Blvd, West Islip, NY 11795-3105 | 2008-06-11 |
| 1649444340 | Ganesh S Kamath | Internal Medicine | 540 Union Blvd, West Islip, NY 11795-3105 | 2008-04-15 |
| 1073785259 | Hitender Jain | Internal Medicine | 540 Union Blvd, West Islip, NY 11795-3105 | 2008-03-28 |
| Find all providers in WEST ISLIP | ||||
| City | WEST ISLIP |
| Zip Code | 11795 |
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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.