Organization Active NPI

Ocean Physicians PC

  • Internal Medicine Physician
  • Freeport, NY
National Provider Identifier
1144353152
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1366991 Issued in NY
Legal business name
OCEAN PHYSICIANS PC
Practice address
33 North Ocean Ave
Freeport, NY 11520
Phone
(516) 378-4949
Fax
(516) 379-8026
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Peter Kong Wah Chak
Title
MD President
Phone
(516) 378-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 1366991 NY Primary

Addresses

Primary practice location

33 North Ocean Ave
Freeport, NY 11520

Mailing address

33 North Ocean Ave
Freeport, NY 11520
Phone (516) 378-4949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110519000765 NY Part B Supplier - Clinic/Group Practice 1153212584 Receives reassigned benefits from 1 practitioner
Practice locations: Freeport, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1144353152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 NORTH OCEAN AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "11520",
            "telephone_number": "516-378-4949",
            "fax_number": "516-379-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 NORTH OCEAN AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "11520",
            "telephone_number": "516-378-4949",
            "fax_number": "516-379-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "CHAK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "KONG WAH",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "516-378-4949"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1366991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.