NPIMap

Organization Active NPI

CHS Physician Partners, PC

Doing business as Cardiac Interventional Group

  • Interventional Cardiology Physician
  • Fresh Meadows, NY
National Provider Identifier
1407089345
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
CHS PHYSICIAN PARTNERS, PC
Doing business as
Cardiac Interventional Group
Practice address
16303 Horace Harding Expy
Suite 100
Fresh Meadows, NY 11365-1454
Phone
(718) 454-4600
Fax
(718) 454-3954
NPI assigned
Aug 26, 2009
Last updated
Jul 19, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
CHS PHYSICIANS PARTNERS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Authorized official

Name
Jack Soterakis, M.D.
Title
President
Phone
(516) 562-6231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

16303 Horace Harding Expy
Suite 100
Fresh Meadows, NY 11365-1454

Mailing address

PO Box 95000-6625
Philadelphia, PA 19195-6625
Phone (631) 465-6121

Other names 1

  • Cardiac Interventional Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040708000027 NY Part B Supplier - Clinic/Group Practice 7618955667 Receives reassigned benefits from 1,098 practitioners
17 other NPIs on this enrollment

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

National Provider Directory

National Provider Directory
Part of
CHS Physician Partners PC

Practitioners & affiliated clinicians

Practitioners 1,107

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,107

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1407089345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-6625",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191956625",
            "telephone_number": "631-465-6121",
            "fax_number": "631-465-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16303 HORACE HARDING EXPY",
            "address_2": "SUITE 100",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651454",
            "telephone_number": "718-454-4600",
            "fax_number": "718-454-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHS PHYSICIAN PARTNERS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHS PHYSICIANS PARTNERS, PC",
        "enumeration_date": "2009-08-26",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "SOTERAKIS",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-562-6231",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiac Interventional Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cardiac Interventional Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.