Individual provider Active NPI

June Chanyasulkit Halsey, M.D.

  • Orthopaedic Surgery Physician
  • Southampton, NY
National Provider Identifier
1689968125
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2874631 Issued in NY
Practice address
686 County Road 39a
Southampton, NY 11968-5703
Phone
(631) 283-0355
Fax
(631) 283-2084
NPI assigned
Jun 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X 2874631 NY Primary

Addresses

Primary practice location

686 County Road 39a
Southampton, NY 11968-5703

Mailing address

635 Belle Terre Rd
Ste 204
Port Jefferson, NY 11777-1977
Phone (631) 474-0008

Other practice location 1

635 Belle Terre Rd
Ste 204
Port Jefferson, NY 11777-1977
Phone (631) 474-0008

Other practice location 2

788 Harrison Ave
Riverhead, NY 11901-2744
Phone (631) 591-3801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170825000902 NY Practitioner - Orthopedic Surgery 5193942845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True North Medical Group PCGroup PAC ID 7012194806, 185 clinicians

Practice addresses (Care Compare)

900 Franklin Ave
Valley Stream, NY 11580-2145
Phone (516) 536-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2874631NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
True North Medical Group PC Orthopaedic Surgery CurrentSince Jun 3, 2019 Accepting new patients
True North Medical Group PC Orthopaedic Surgery CurrentSince Jun 3, 2019 Accepting new patients
True North Medical Group PC Past Accepting new patients

Locations

635 Belle Terre Rd
Ste 204
Prt Jefferson, NY 11777
Phone (631) 474-0008

788 Harrison Ave
Riverhead, NY 11901
Phone (631) 591-3801

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

686 County Road 39A
Southampton, NY 11968
Phone (631) 283-0355

240 Meeting House Ln
Southampton, NY 11968
Phone (631) 726-0409

900 Franklin Ave
Valley Stream, NY 11580
Phone (516) 256-6000

Interoperability endpoints

  • Direct secure messaging: junehalsey@nslijmedgr.allscriptsdirect.net

Organizations & group practices 3

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1689968125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 BELLE TERRE RD",
            "address_2": "STE 204",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771977",
            "telephone_number": "631-474-0008",
            "fax_number": "631-474-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 COUNTY ROAD 39A",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685703",
            "telephone_number": "631-283-0355",
            "fax_number": "631-283-2084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635 BELLE TERRE RD",
            "address_2": "STE 204",
            "address_purpose": "LOCATION",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771977",
            "country_code": "US",
            "telephone_number": "631-474-0008",
            "fax_number": "631-474-0224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "788 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "119012744",
            "country_code": "US",
            "telephone_number": "631-591-3801",
            "fax_number": "631-474-0224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALSEY",
        "first_name": "JUNE",
        "middle_name": "CHANYASULKIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "2874631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NY

Sources for this page

Verify at the official NPI Registry.