NPIMap

Organization Active NPI

CHS Physician Partners, P.C

  • Cardiovascular Disease Physician
  • Roslyn, NY
National Provider Identifier
1164585725
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
107339 Issued in NY
Legal business name
CHS PHYSICIAN PARTNERS, P.C
Practice address
100 Port Washington Blvd
Suite 105
Roslyn, NY 11576-1347
Phone
(516) 390-9640
Fax
(516) 390-9650
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Authorized official

Name
Jack Soterakis, M.D.
Title
President
Phone
(516) 562-6231

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 161798 NY
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 107339 NY Primary

Addresses

Primary practice location

100 Port Washington Blvd
Suite 105
Roslyn, NY 11576-1347

Mailing address

PO Box 95000-6625
Philadelphia, PA 19195-6625
Phone (631) 465-6297

Other identifiers 2

IdentifierTypeStateIssuer
DC4425OtherNYMC RR
01243636MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040708000027 NY Part B Supplier - Clinic/Group Practice 7618955667 Receives reassigned benefits from 1,098 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

National Provider Directory

National Provider Directory

Locations (25 of 154)

400 W Main St
Ste 33
Babylon, NY 11702

400 W Main St
Ste 330
Babylon, NY 11702
Phone (631) 321-1239

79 Deer Park Ave
Babylon, NY 11702
Phone (631) 587-0574

830 Atlantic Ave
Ste B
Baldwin, NY 11510

1850 Sunrise Hwy
Fl 2
Bay Shore, NY 11706

1850 Sunrise Hwy
Ste 2
Bay Shore, NY 11706

375 E Main St
Ste 20
Bay Shore, NY 11706
Phone (516) 665-4118

250 Pettit Ave
Bellmore, NY 11710
Phone (516) 679-3090

250 Pettit Ave
Ste 3
Bellmore, NY 11710
Phone (516) 826-2700

4277 Hempstead Tpke
Ste 207
Bethpage, NY 11714

4250 Hempstead Tpke
Ste 21
Bethpage, NY 11714
Phone (516) 433-8530

4277 Hempstead Tpke
Ste 103
Bethpage, NY 11714

4277 Hempstead Tpke
Ste 203
Bethpage, NY 11714
Phone (516) 735-3001

486 Lincoln Pl
Unit 1G
Brooklyn, NY 11238
Phone (251) 408-7261

2212 Middle Country Rd
Centereach, NY 11720

500 Commack Rd
Unit 150E
Commack, NY 11725

66 Commack Rd
Bldg 1
Commack, NY 11725

500 Commack Rd
Commack, NY 11725
Phone (516) 809-9666

500 Commack Rd
Unit 150C
Commack, NY 11725
Phone (934) 223-7171

500 Commack Rd
Ste B
Commack, NY 11725

500 Commack Rd
Ste 1500
Commack, NY 11725

500 Commack Rd
Ste D
Commack, NY 11725

66 Commack Rd
Commack, NY 11725
Phone (631) 486-5286

500 Commack Rd
Ste E
Commack, NY 11725
Phone (631) 435-0110

2017 Deer Park Ave
Ste 2
Deer Park, NY 11729

Practitioners & affiliated clinicians

Practitioners 1,201

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

View all 1,201

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1164585725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-6625",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191956625",
            "telephone_number": "631-465-6297",
            "fax_number": "631-465-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BLVD",
            "address_2": "SUITE 105",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761347",
            "telephone_number": "516-390-9640",
            "fax_number": "516-390-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHS PHYSICIAN PARTNERS, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "SOTERAKIS",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-562-6231",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "161798",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "107339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC RR",
            "identifier": "DC4425",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01243636",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.