CHS PHYSICIAN PARTNERS, PC (NPI# 1912344250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912344250 |
| Entity Type | Organization |
| Organization Name | CHS PHYSICIAN PARTNERS, PC |
| Other Organization Name | KORNBLIT MEDICAL PRACTICE |
| Practice Address |
830 Atlantic Ave Baldwin NY 11510-4098 |
| Mailing Address |
Po Box 95000-6625 Philadelphia PA 19195-6625 |
| Practice Telephone | 5168676868 |
| Practice Fax Number | 5168670892 |
| Mailing Telephone | 6314656297 |
| Mailing Fax Number | 6314656524 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2019-07-18 |
| Authorized Official Name | DR. 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 | 207Q00000X | Family Medicine | 153429 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Kornblit Medical Practice | 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 |
| 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 |
| 1649515925 | Chs Physician Partners, PC | Internal Medicine | 2000 N Village Ave, Suite 102, Rockville Centre, NY 11570-1078 | 2012-11-28 |
| Street Address |
830 ATLANTIC AVE |
| City | BALDWIN |
| State | NY |
| Zip Code | 11510-4098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568444040 | Kim J Berlin | Podiatrist | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2005-11-18 |
| 1326318882 | Kornblit Medical PC | Family Medicine | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2011-12-30 |
| 1285861906 | Reyes/reyes Physical Therapy Pllc | Clinic/Center | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2009-06-20 |
| 1174742423 | Lucille Rose Brind | Dietitian, Registered | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2007-04-25 |
| 1285859025 | Patricia Kornblit | Nurse Practitioner | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2007-04-16 |
| 1093876054 | Baldwin Harbor Physical Therapy | Physical Therapist | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2006-12-13 |
| 1063587160 | Kelly Ann Sheehan-combest | Physical Therapist | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2006-11-22 |
| 1164507414 | Susan Matis Cicio | Physical Therapist | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2006-10-26 |
| 1255413050 | Arthur Kornblit | Personal Emergency Response Attendant | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2006-10-20 |
| 1780639997 | Juanito E Reyes | Physical Therapist | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952810657 | Garfield Patrick | Nurse Practitioner | 2044 Pine Street, Baldwin, NY 11510 | 2017-09-25 |
| 1447794557 | Amanda Rose Marcos | Specialist/Technologist | 2830 Laurel Ave, Baldwin, NY 11510 | 2016-12-08 |
| 1184170896 | Steffany Lissette Martinez | Home Health | 606 Rose Blvd, Baldwin, NY 11510 | 2016-09-01 |
| 1992188429 | Robert Bunstead | Specialist | 2475 Soper Ave., Baldwin, NY 11510 | 2015-07-01 |
| 1376926907 | Hazel Mckain | Registered Nurse | 1011 Alexander Pl, North Baldwin, NY 11510 | 2015-07-01 |
| 1922481605 | Nonie Craige | Social Worker | 2811 Tulip Ave, Baldwin, NY 11510 | 2015-06-30 |
| 1942625058 | Stefanie Scherner | Massage Therapist | 2789 Milburn Ave, Baldwin, NY 11510 | 2014-02-26 |
| 1497090476 | Thelma B Grant | Midwife | 1323 Tanwood Dr., Baldwin, NY 11510 | 2012-12-03 |
| 1366712432 | Maria Carmen Antoine | Psychologist | 3098 Ann St, Baldwin, NY 11510 | 2012-01-06 |
| 1992003818 | Carole Marie Mondesir | Nurse Practitioner | 489 Demott Avenue, Baldwin, NY 11510 | 2011-03-01 |
| Find all providers in zip 11510 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093238347 | Hudson Physicians, S.c | Family Medicine | 840 Spruce St, Baldwin, WI 54002-3264 | 2017-07-19 |
| 1033276878 | Adoracion Poblete Sotomayor | Family Medicine | 365 West Oliver Street, Baldwin, FL 32234-0608 | 2007-01-02 |
| 1952465056 | Meridian Corporate Healthcare of Georgia PC | Family Medicine | 184 Professional Dr Unit B, Baldwin, GA 30511-4012 | 2006-12-21 |
| 1932271509 | Ismail Ozcan | Family Medicine | 2762 Milburn Ave, Baldwin, NY 11510-4117 | 2006-11-15 |
| 1902984115 | Eric Shoenfeld | Family Medicine | 927 Merrick Rd, Baldwin, NY 11510-3334 | 2006-11-02 |
| 1457373532 | Nancy A. Akers | Family Medicine | 1701 Baldwin, Suite 103, Baldwin, MI 48340 | 2006-07-24 |
| 1427092196 | Shaima Sulemankhil | Family Medicine | 730 10th Ave., Baldwin, WI 54002 | 2006-06-15 |
| 1083658801 | Zev Brandel | Family Medicine | 2504 Grand Ave, Baldwin, NY 11510-3538 | 2006-06-15 |
| 1447224589 | Gregory John Estlund | Family Medicine | 730 10th Ave, Baldwin, WI 54002-9416 | 2006-02-15 |
| 1457321598 | Daniel Patrick Gilligan | Family Medicine | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2006-01-23 |
| Find all providers in BALDWIN | ||||
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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.