Organization Active NPI

Healtheon Medical Services LLC

  • Cardiovascular Disease Physician
  • North Babylon, NY
National Provider Identifier
1194772236
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
215374 Issued in NY
Legal business name
HEALTHEON MEDICAL SERVICES LLC
Practice address
1350 Deer Park Ave
North Babylon, NY 11703-1619
Phone
(631) 482-1357
Fax
(631) 482-1358
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Authorized official

Name
Dr. David Kavesteen
Title
Ceo
Phone
(631) 482-1355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 215374 NY Primary

Addresses

Primary practice location

1350 Deer Park Ave
North Babylon, NY 11703-1619

Mailing address

1350 Deer Park Ave
North Babylon, NY 11703-1619
Phone (631) 482-1357

National Provider Directory

National Provider Directory

Locations

260 Ainslie St
Brooklyn, NY 11211
Phone (718) 218-7352

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1194772236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 DEER PARK AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031619",
            "telephone_number": "631-482-1357",
            "fax_number": "631-482-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 DEER PARK AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031619",
            "telephone_number": "631-482-1357",
            "fax_number": "631-482-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHEON MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "KAVESTEEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-482-1355",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "215374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.