Active NPI
Careheart Cardiology PC
- Health Service Clinic/Center
- Port Jefferson Station, NY
National Provider Identifier
1396960696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 143130
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.