Fang C Chen (NPI# 1255455689, PAC ID# 2466541578) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1255455689 |
| PAC ID by PECOS | 2466541578 |
| Professional Enrollment ID | I20071127000570 |
| Full Name | Fang C Chen |
| Organization Legal Name | PECONIC BAY PRIMARY MEDICAL CARE PC |
| Address |
496 County Rd Suite 111 Manorville NY 11949-3341 |
| Phone Number | 6314053200 |
| Gender | F |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7113817602 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330107 | PECONIC BAY MEDICAL CENTER |
| 330393 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 496 County Rd, Suite 111, Manorville, NY 11949-3341 | 6314053200 | PECONIC BAY PRIMARY MEDICAL CARE PC |
| 13400 Main Rd, Mattituck, NY 11952-3209 | 6312984008 | PECONIC BAY PRIMARY MEDICAL CARE PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 79% |
| Organization Legal Name | PECONIC BAY PRIMARY MEDICAL CARE PC |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth R Mataragas | Physician Assistant | Peconic Bay Primary Medical Care PC | 496 County Rd, Suite 111, Manorville, NY 11949-3341 |
| Victor Olujimi | Orthopedic Surgery | Peconic Bay Primary Medical Care PC | 64 Commerce Dr, Riverhaed, NY 11901 |
| Denis J Nankervis | General Surgery | Peconic Bay Primary Medical Care PC | 1267 E Main St, Riverhead, NY 11901-2676 |
| Sara A Cerrone | Internal Medicine | Peconic Bay Primary Medical Care PC | 13400 Main Rd, Mattituck, NY 11952-3209 |
| Danielle Faye Stoebe | Physician Assistant | Peconic Bay Primary Medical Care PC | 54 Woodville Rd, Shoreham, NY 11786-1331 |
| James L Earl | Nurse Practitioner | Peconic Bay Primary Medical Care PC | 32845 Main Rd, Cutchogue, NY 11935-1691 |
| Michael W Dempsey | Internal Medicine | Peconic Bay Primary Medical Care PC | 1333 Roanoke Ave, Suite 202, Riverhead, NY 11901-2029 |
| Luigi Buono | Family Medicine | Peconic Bay Primary Medical Care PC | 7905 Main Rd, Mattituck, NY 11952-1518 |
| Brian K Mcnulty | Family Medicine | Peconic Bay Primary Medical Care PC | 504 Main St B, Center Moriches, NY 11934-2232 |
| Afzal M Butt | Internal Medicine | Peconic Bay Primary Medical Care PC | 34 Commerce Dr, Riverhaed, NY 11901 |
| Street Address |
496 COUNTY RD SUITE 111 |
| City | MANORVILLE |
| State | NY |
| Zip | 11949-3341 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth R Mataragas | Physician Assistant | Peconic Bay Primary Medical Care PC | 496 County Rd, Suite 111, Manorville, NY 11949-3341 |
| Peter J Siefken | Physician Assistant | Peconic Bay Primary Medical Care PC | 496 County Rd, Suite 111, Manorville, NY 11949-3341 |
| Kimberly Muzzonigro | Physician Assistant | Peconic Bay Primary Medical Care PC | 496 County Rd, Suite 111, Manorville, NY 11949-3341 |
| Brett E Ruffo | Colorectal Surgery (proctology) | Peconic Bay Primary Medical Care PC | 496 County Rd, Suite 111, Manorville, NY 11949-3341 |
| Jessica M Petchonka | Physician Assistant | Peconic Bay Primary Medical Care PC | 496 County Rd, Suite 111, Manorville, NY 11949-3341 |
| Elizabeth Sanders | Physician Assistant | Peconic Bay Primary Medical Care PC | 496 County Rd, Suite 111, Manorville, NY 11949-3341 |
| Ashanti L Franklin | Colorectal Surgery (proctology) | Peconic Bay Primary Medical Care PC | 496 County Rd, Suite 111, Manorville, NY 11949-3341 |
| Jeffrey Tiu | Family Medicine | Peconic Bay Primary Medical Care PC | 496 County Rd, Suite 111, Manorville, NY 11949-3341 |
| Bogdan Makartchuk | General Surgery | Peconic Bay Primary Medical Care PC | 496 County Rd, Suite 111, Manorville, NY 11949-3341 |
| Heidemarie Grattan | Nurse Practitioner | Peconic Bay Primary Medical Care PC | 496 County Rd, Suite 111, Manorville, NY 11949-3341 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Zacharski | Physical Therapy | 3 Halsey Manor Rd, Manorville, NY 11949-2816 | |
| Deborah K Zeltmann | Clinical Social Worker | 46 Golf Club Cir, Manorville, NY 11949-2827 | |
| Brian F Murphy | Physical Therapy | We Care Physical Therapy, P.C. | 5 Tee View Ct, Manorville, NY 11949-2939 |
| Janine Murphy | Physical Therapy | We Care Physical Therapy, P.C. | 5 Tee View Ct, Manorville, NY 11949-2939 |
| Donna Martino | Physical Therapy | We Care Physical Therapy, P.C. | 5 Tee View Ct, Manorville, NY 11949-2939 |
| Denise Fleming | Physical Therapy | We Care Physical Therapy, P.C. | 5 Tee View Ct, Manorville, NY 11949-2939 |
| Wesley K Varghese | Physical Therapy | We Care Physical Therapy, P.C. | 5 Tee View Ct, Manorville, NY 11949-2939 |
| Meghan P Shedlick | Physical Therapy | In-stride Physical Therapy, Pllc | 5 Tee View Ct, Manorville, NY 11949-2939 |
| Courtney M Michele | Physical Therapy | We Care Physical Therapy, P.C. | 5 Tee View Ct, Manorville, NY 11949-2939 |
| Diane M Nicholson | Physical Therapy | We Care Physical Therapy, P.C. | 5 Tee View Ct, Manorville, NY 11949-2939 |
| Find all physicians in zip 11949 | |||
| City | MANORVILLE |
| Zip Code | 11949 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MANORVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Fang C Chen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.