Johnshaomd

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

232955-1 Issued in NY

Legal business name

JOHNSHAOMD

Practice address

289 N Plank Rd
Suite 3
Newburgh, NY 12550-1790

Phone

(845) 564-1215

Fax

(845) 553-6102

NPI assigned

Jul 13, 2016

Organization subpart

No

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

Authorized official

Name

John Shao, MD

Title

Owner

Phone

(845) 564-1215

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1205288305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 N PLANK RD",
            "address_2": "SUITE 3",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501790",
            "telephone_number": "845-564-1215",
            "fax_number": "845-553-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 N PLANK RD",
            "address_2": "SUITE 3",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501790",
            "telephone_number": "845-564-1215",
            "fax_number": "845-553-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSHAOMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "SHAO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-564-1215",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "232955-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nagalingam Jeyalingam, M.D.
• Carina Jimenez-Soto, DMD
• Darlene May Jocson, RN
• Stanley John, M.D.
• Julie M Johns, DO
• Christopher Johnson, MA PSY
• Jacqueline Johnson, LCSW
• Myria Johnson, LPN
• Sanique Johnson
• Sharon A Jolly, AUD/SLP

• Interventional Cardiology Physician in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Interventional Cardiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.