James P Cavanagh, MD | |
200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | |
(631) 474-6205 | |
(631) 476-5602 |
Full Name | James P Cavanagh |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 200 Belle Terre Rd, Port Jefferson, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376540484 | NPI | - | NPPES |
01870300 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 210488-1 (New York) | Primary |
Entity Name | Chs Physician Partners Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164585725 PECOS PAC ID: 7618955667 Enrollment ID: O20040708000027 |
Entity Name | St Charles Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497765630 PECOS PAC ID: 6103733050 Enrollment ID: O20050205000015 |
Mailing Address | Practice Location Address |
---|---|
James P Cavanagh, MD 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 Ph: (631) 474-6205 | James P Cavanagh, MD 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 Ph: (631) 474-6205 |
Sana Amber Hameedi, D.O Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6000 | |
Dr. Mark Lowenheim, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Suite 400, Port Jefferson, NY 11777 Phone: 631-403-4507 Fax: 631-509-4614 | |
Dr. Mary Cherian Palathra, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6205 | |
Dr. Roberta Nataloni, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6000 | |
Nancy Strong, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6000 | |
Dr. Juliette Avigdor Trope, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Belle Terre Road, Port Jefferson, NY 11777 Phone: 631-474-6205 |