NPIMap

Individual provider Active NPI

Thomas Mathew Chengot, D.O.

  • Interventional Cardiology Physician
  • Amityville, NY
National Provider Identifier
1295960094
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
251473 Issued in NY
Practice address
129 Broadway
Amityville, NY 11701
Phone
(631) 598-3434
NPI assigned
May 21, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 251473 NY Primary

Addresses

Primary practice location

129 Broadway
Amityville, NY 11701

Mailing address

129 Broadway
Amityville, NY 11701-2729
Phone (631) 598-3434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140725002112 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5193941201 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Ekg Interpretation, P. C.Group PAC ID 2466345103, 57 clinicians
Mathew T Chengot MD PCGroup PAC ID 5092740597, 6 clinicians

Practice addresses (Care Compare)

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 465-6225

129 Broadway
Amityville, NY 11701-2729
Phone (631) 598-3434

Hospital & facility affiliations

  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting56
Coronary artery bypass graft (CABG)1-10
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mathew T. Chengot MD PC CurrentSince Jul 1, 2014 Accepting new patients
Cardiac Ekg Interpretation, P. C. CurrentSince Oct 7, 2017 Accepting new patients
Synergy Health Medical Solutions PC CurrentSince Jan 1, 2017 Accepting new patients
Comprehensive Primary Family Medical Care of Ny, PLLC PastSince Mar 1, 2018 Accepting new patients

Locations

129 Broadway
Amityville, NY 11701
Phone (516) 626-5330

95 Clinton St
Hempstead, NY 11550
Phone (516) 292-0800

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71355

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1295960094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012729",
            "telephone_number": "631-598-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "11701",
            "telephone_number": "631-598-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENGOT",
        "first_name": "THOMAS",
        "middle_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-21",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "251473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.