Owen T Yen (NPI# 1124111232, PAC ID# 7810927498) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1124111232 |
| PAC ID by PECOS | 7810927498 |
| Professional Enrollment ID | I20110324000616 |
| Full Name | Owen T Yen |
| Address |
45 Route 25a Shoreham NY 11786-1389 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330185 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
| 330246 | ST CHARLES HOSPITAL |
| 330393 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 111 Broadway, Fl 2, New York, NY 10006-1995 | 2122639701 | NEW YORK UNIVERSITY |
| 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 6314656225 | CARDIAC EKG INTERPRETATION, P. C. |
| 45 Route 25a, Shoreham, NY 11786-1389 | ||
| 45 Route 25a, Shoreham, NY 11786-1389 | 6317443303 | NEW YORK UNIVERSITY |
| 1000 Montauk Hwy, West Islip, NY 11795-4927 | 6314656225 | CARDIAC EKG INTERPRETATION, P. C. |
| Street Address |
45 ROUTE 25A |
| City | SHOREHAM |
| State | NY |
| Zip | 11786-1389 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Lee Hasbrouck | Clinical Social Worker | 45 Route 25a, Suite A2, Shoreham, NY 11786-1389 | |
| Jeffrey Kraushaar | Optometry | Soundview Optometry Pllc | 45 Route 25a, Suite F, Shoreham, NY 11786-1389 |
| Justin D Kraushaar | Optometry | Soundview Optometry Pllc | 45 Route 25a, Suite F, Shoreham, NY 11786-1389 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Faye Stoebe | Physician Assistant | Peconic Bay Primary Medical Care PC | 54 Woodville Rd, Shoreham, NY 11786-1331 |
| Cynthia Carlson | Family Medicine | Peconic Bay Primary Medical Care PC | 54 Woodville Rd, Shoreham, NY 11786-1331 |
| Agostino Cervone | General Surgery | Peconic Bay Primary Medical Care PC | 54 Woodville Rd, Shoreham, NY 11786-1331 |
| Andrew Ribaudo | Physician Assistant | Peconic Bay Primary Medical Care PC | 54 Woodville Rd, Shoreham, NY 11786-1331 |
| George R Ruggiero | Family Practice | Peconic Bay Primary Medical Care PC | 54 Woodville Rd, Shoreham, NY 11786-1331 |
| Diane Gavares | Clinical Social Worker | 3 Middle Cross, Shoreham, NY 11786-1441 | |
| Robert Thomas Badalian | Chiropractic | 21 Miller Ave, Shoreham, NY 11786-1803 |
| City | SHOREHAM |
| Zip Code | 11786 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | SHOREHAM + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Owen T Yen.
| 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.