Active NPI
Hachiro Nakamura, M.D.
- Cardiovascular Disease Physician
- Huntington, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 112130-1
- Practice address
- 325 Park Ave
Huntington, NY 11743-2779 - Phone
- (631) 351-3777
- Fax
- (631) 351-1890
- NPI assigned
- Jul 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 112130-1 | NY | Primary |
Addresses
Primary practice location
325 Park Ave
Huntington, NY 11743-2779
Mailing address
325 Park Ave
Huntington, NY 11743-2779
Phone (631) 351-3777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00380305 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112130 | NY | MD | Clinical Social Worker |
| 112130-1 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Cardiovascular Disease | Current | Accepting new patients |
| North Shore Medical Group of the Mount Sinai School of Medicine | Cardiovascular Disease | Current | Accepting new patients |
| North Shore Medical Group of the Mount Sinai School of Medicine | Cardiovascular Disease | Current | Accepting new patients |
Locations
270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308
325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700
300 Community Dr
Manhasset, NY 11030
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mount Sinai Doctors Long Island
- Internal Medicine Physician
- Greenlawn, NY
- NPI 1275640609
Cardiovascular Disease
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
Cardiovascular Disease
-
- Internal Medicine Physician
- Wantagh, NY
- NPI 1992417323
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306850235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 PARK AVE",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432779",
"telephone_number": "631-351-3777",
"fax_number": "631-351-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 PARK AVE",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432779",
"telephone_number": "631-351-3777",
"fax_number": "631-351-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKAMURA",
"first_name": "HACHIRO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "112130-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00380305",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.