Active NPI
Sound Physician Services PC
- Anesthesiology Physician
- Port Jefferson Station, NY
National Provider Identifier
1396197927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 204410
- Legal business name
- SOUND PHYSICIAN SERVICES PC
- Practice address
- 1174 Route 112
Port Jefferson Station, NY 11776-8033 - Phone
- (631) 744-3671
- Fax
- (631) 744-6205
- NPI assigned
- Jul 7, 2016
- Last updated
- Jul 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Von Lintig
- Title
- Administrator
- Phone
- (631) 744-3671
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 204410 | NY | Primary |
Addresses
Primary practice location
1174 Route 112
Port Jefferson Station, NY 11776-8033
Mailing address
333 Route 25a Ste 225
Rocky Point, NY 11778-8802
Phone (631) 744-3671
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467849600000",
"number": "1396197927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 ROUTE 25A STE 225",
"city": "ROCKY POINT",
"state": "NY",
"postal_code": "117788802",
"telephone_number": "631-744-3671",
"fax_number": "631-744-6205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1174 ROUTE 112",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117768033",
"telephone_number": "631-744-3671",
"fax_number": "631-744-6205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUND PHYSICIAN SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-07",
"last_updated": "2016-07-07",
"status": "A",
"authorized_official_last_name": "VON LINTIG",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "631-744-3671"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "204410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.