NPIMap

Individual provider Active NPI

Sanjay Sangwan, M.D.

  • Internal Medicine Physician
  • Port Jefferson Station, NY
National Provider Identifier
1346280658
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
238641 Issued in NY
Practice address
116 Terryville Rd
Port Jefferson Station, NY 11776-1329
Phone
(631) 928-2002
Fax
(631) 473-4427
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 238641 NY Primary

Addresses

Primary practice location

116 Terryville Rd
Port Jefferson Station, NY 11776-1329

Mailing address

116 Terryville Rd
Port Jefferson Station, NY 11776-1329
Phone (631) 928-2002

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
I20060626000246 NY Practitioner - Family PracticePractitioner - General PracticePractitioner - Internal Medicine 4981616422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

116 Terryville Rd
Port Jefferson Station, NY 11776-1329
Phone (631) 928-2002

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260
  • Centerwell Home Health Home health agency, Hauppauge, NY, CCN 337232
  • Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400
  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246
  • John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Jan 1, 2016 Accepting new patients
Harbor Medical Care PC Current Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Suffolk Vascular Associates, PLLC Past Accepting new patients

Locations

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

116 Terryville Rd
Port Jefferson Station, NY 11776
Phone (631) 928-2002

75 N Country Rd
#T
Prt Jefferson, NY 11777
Phone 63147313204428

200 Belle Terre Rd
Ste 100
Prt Jefferson, NY 11777
Phone (631) 331-6090

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Networks

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

Interoperability endpoints

  • Direct secure messaging: ssangwan56034@direct-chsli.net

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1346280658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 TERRYVILLE RD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761329",
            "telephone_number": "631-928-2002",
            "fax_number": "631-473-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 TERRYVILLE RD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761329",
            "telephone_number": "631-928-2002",
            "fax_number": "631-473-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGWAN",
        "first_name": "SANJAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "238641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

Verify at the official NPI Registry.