DR. BO CHAO (NPI# 1659462695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659462695 |
| Entity Type | Individual |
| Full Name | DR. BO CHAO |
| Credential | M.D. |
| Practice Address |
75 N Country Rd Port Jefferson NY 11777-2119 |
| Mailing Address |
625 Belle Terre Rd Suite 100 Port Jefferson NY 11777-2316 |
| Practice Telephone | 6314731320 |
| Practice Fax Number | 6316867653 |
| Mailing Telephone | 6316867654 |
| Mailing Fax Number | 6316867653 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 241159 | NY | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 241159 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215144209 | Bo H Chao | Internal Medicine | 520 E 70th St # 341, New York, NY 10021-9800 | 2007-05-17 |
| Street Address |
75 N COUNTRY RD |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718728 | John T. Mather Memorial Hospital | Psychiatric Unit | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2005-05-27 |
| 1124633169 | Ewelina Mieczkowska | Physician Assistant | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-09-15 |
| 1114546652 | Kelly Miller | Registered Nurse | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-04-14 |
| 1194344143 | John Lotfi | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-04-10 |
| 1669001897 | Robert Franklin Wilson | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-04-08 |
| 1245868611 | Tia Bimal | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-03-31 |
| 1427686203 | Aakash Babaria | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-03-29 |
| 1821626789 | Anjali Kewalramani | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-03-27 |
| 1578190591 | Joon Oh | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2190 | 2020-03-27 |
| 1871121848 | Sonali Nanda | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932496791 | Ronald Richard Matuszak IIi | Hospitalist | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2011-06-30 |
| 1780876979 | Tommy Chau | Hospitalist | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2007-08-13 |
| 1932296316 | John T. Mather Memorial Hospital | Hospitalist | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2006-10-06 |
| 1043310568 | Thomas Overholt | Hospitalist | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274454 | Nisar Alvi M.d. P.C. | Hospitalist | 2613 Pinebluff Dr, Vestal, NY 13850-2909 | 2017-02-20 |
| 1194172171 | Milna Rose Rufin | Hospitalist | 550 First Avenue, Nyu Langone Medical Center, New York, NY 10016 | 2016-05-19 |
| 1831553809 | Fatima Chaudhri | Hospitalist | 1st Avenue At E16th Street, New York, NY 10003-2925 | 2016-04-06 |
| 1174986228 | Niyati Ajit Bhagwat | Hospitalist | Nyu Winthrop Hospital, 259 1st Street, Mineola, NY 11501 | 2016-04-05 |
| 1902269806 | Lindsey Fox | Hospitalist | 1111 Amsterdam Ave Dept Of, New York, NY 10025-1716 | 2016-03-30 |
| 1538520440 | Myung Sun Choi | Hospitalist | 1425 Portland Ave Ste 204, Rochester, NY 14621-3011 | 2016-03-19 |
| 1992177711 | Saroj Sapkota | Hospitalist | 11111 Liberty Ave, South Richmond Hill, NY 11419-1811 | 2015-10-21 |
| 1255715116 | Shorabh Sharma | Hospitalist | 4422 Third Ave Mills Building, Department of Internal Medicine, Bronx, NY 10457 | 2015-07-10 |
| 1689051740 | John Richard Shultz | Hospitalist | 43 New Scotland Ave # Mc23, Albany, NY 12208 | 2015-04-28 |
| 1659787653 | Symphony Medical PC | Hospitalist | 27 S Washington Ave, Dobbs Ferry, NY 10522-1806 | 2014-07-10 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.