OrganizationChs Physician Partners, Pc(Gupta Medical Practice)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address1703 Merrick Ave, Merrick, NY 11566-1628(516) 378-3311(631) 465-6297PECOS EnrollmentBased on the most recent information from CMS, provider Chs Physician Partners, Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1619315975Provider TypeOrganizationFull NameChs Physician Partners, PcOther NameGupta Medical PracticeSubpartYesEnumeration Date6/10/2013Last Updated7/19/2019Contact InformationPractice LocationPractice Address1703 Merrick Ave, Merrick, NY 11566-1628Phone(516) 378-3311Fax(516) 546-1517Mailing LocationMailing AddressPO Box 95000-6625, Philadelphia, PA 19195-6625Phone(631) 465-6297Fax(631) 465-6524Authorized OfficialNameSoterakis, Jack (President)Phone(516) 562-6231Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207RC0000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207RG0100XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207UN0901XDescriptionNuclear MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer