Physician Compare National (NPI:1831414812)

HEALTHCARE PROVIDER: JIN QIAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1831414812
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113229790
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20171222000822
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	QIAN
	Individual professional last name
Provider First Name	JIN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	INTERVENTIONAL RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	DIAGNOSTIC RADIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	DIAGNOSTIC RADIOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	ST FRANCIS CARDIAC PREVENTION SERVICES, PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4183515836
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	36
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	500 COMMACK RD
	Group Practice or individual's line 1 address
Line 2 Street Address	UNIT 150C
	Group Practice or individual's line 2 address
City	COMMACK
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	117255009
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9342236299
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330286
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GOOD SAMARITAN HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330401
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST CATHERINE OF SIENA HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	330246
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST CHARLES HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	330106
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	330182
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	ST FRANCIS HOSPITAL - THE HEART CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1831414812)

HEALTHCARE PROVIDER: JIN QIAN M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information