MRS. MABEL CHUNG (NPI# 1104022433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104022433 |
| Entity Type | Individual |
| Full Name | MRS. MABEL CHUNG |
| Credential | MD |
| Practice Address |
111 E 210th St Bronx NY 10467-2401 |
| Practice Telephone | 7189204321 |
| Enumeration Date | 2007-06-24 |
| Last Update Date | 2014-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
254263 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
111 E 210TH ST |
| City | BRONX |
| State | NY |
| Zip Code | 10467-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619373 | Caletha Dicks | Nurse Anesthetist, Certified Registered | 111 E 210th St, Bronx, NY 10467-2401 | 2005-06-14 |
| 1124629118 | Ali Liakat | Pharmacist | 111 E 210th St, Bronx, NY 10467-2401 | 2020-11-05 |
| 1225639347 | Michael Boadu | Pharmacist | 111 E 210th St, Bronx, NY 10467-2401 | 2020-11-04 |
| 1770183501 | Michelle Marsalisi | Physician Assistant | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-30 |
| 1598364606 | Denise Sarah Dailey | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-20 |
| 1619574167 | Amina Khan | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-07 |
| 1043817679 | Farzaneh Hosein Khezri | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-06 |
| 1366049330 | Shafaq Zaman Tarar | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-02 |
| 1972110450 | Assi Milwidsky | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-09-28 |
| 1518574243 | Sudhakar Basetty | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
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| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932335395 | Issa Kallie Toure | Anesthesiology | 981 Union Ave Apt 5d, Bronx, NY 10459 | 2009-05-29 |
| 1063842821 | Elizabeth Dryland | Anesthesiology | 111 E 210th St, Bronx, NY 10467 | 2013-11-14 |
| 1124461819 | Kevin Peter Fitzmartin | Anesthesiology | 111 E 210th St, Bronx, NY 10467 | 2013-04-11 |
| 1922268200 | Jay Steven Berger | Anesthesiology | 111 E 210th St, Montefiore Medical Center, Bronx, NY 10467-2401 | 2008-06-11 |
| 1417994724 | Alina O. Dulu | Anesthesiology | 111 E 210th St, Bronx, NY 10467-2401 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598001083 | Norman Albert Ernst Jr. | Anesthesiology | 210 Meadbrook Rd, Garden City, NY 11530-1211 | 2013-01-02 |
| 1245525252 | Emily Chanan | Anesthesiology | 525 East 68th St, New York, NY 10025 | 2011-06-17 |
| 1548496904 | Kunal Panda | Anesthesiology | 601 Elmwood Ave Dept Of, Rochester, NY 14642-2604 | 2009-05-29 |
| 1467578211 | Erfan Hussain | Anesthesiology | Nsuh-dept of Med & Cricical Care Med, 300 Community Drive, Manhasset, NY 11030 | 2007-03-22 |
| 1922012277 | Hesaraghatta Buddappa Keshava | Anesthesiology | 1185 County Highway 122, Gloversville, NY 12078-6131 | 2006-07-29 |
| 1255373205 | Arvin H Chin | Anesthesiology | 29 Harrison St, New York, NY 10013-2705 | 2006-06-12 |
| 1083677678 | Robert M Constantine | Anesthesiology | 301 Prospect Avenue, Syracuse, NY 13203 | 2006-04-06 |
| 1841829819 | Ccmma Tx Pllc | Anesthesiology | 224 W 18th St Apt 8a, New York, NY 10011-4558 | 2020-04-02 |
| 1760025738 | Jessica Victoria Miller | Anesthesiology | 100 High St, Buffalo, NY 14203-1154 | 2019-10-23 |
| 1376103184 | Ayasha Choudhry Bettag | Anesthesiology | 1275 York Ave Dept Of, New York, NY 10065-6007 | 2019-06-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.