Organization Active NPI

Careheart Cardiology PC

  • Health Service Clinic/Center
  • Port Jefferson Station, NY
National Provider Identifier
1396960696
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
143130 Issued in NY
Legal business name
CAREHEART CARDIOLOGY PC
Practice address
5225 Nesconset Hwy
Suite 37
Port Jefferson Station, NY 11776-2053
Phone
(631) 642-1500
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. Shug-Hong Young, MD
Title
President
Phone
(631) 642-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 143130 NY Primary

Addresses

Primary practice location

5225 Nesconset Hwy
Suite 37
Port Jefferson Station, NY 11776-2053

Mailing address

5225 Nesconset Hwy
Suite 37
Port Jefferson Station, NY 11776-2053
Phone (631) 642-1500

National Provider Directory

National Provider Directory

Locations

5225 Route 347
Ste 37TE
Port Jeff Sta, NY 11776

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1396960696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 NESCONSET HWY",
            "address_2": "SUITE 37",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762053",
            "telephone_number": "631-642-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 NESCONSET HWY",
            "address_2": "SUITE 37",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762053",
            "telephone_number": "631-642-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREHEART CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SHUG-HONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-642-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "143130",
            "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 May 8, 2008; 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.