MICKY CHUN (NPI# 1306821434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306821434 |
| Entity Type | Individual |
| Full Name | MICKY CHUN |
| Credential | MD |
| Practice Address |
242 Merrick Rd Suite 304 Rockville Centre NY 11570-5254 |
| Practice Telephone | 5167647070 |
| Practice Fax Number | 5167647073 |
| Mailing Telephone | 5167647070 |
| Mailing Fax Number | 5167647073 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2009-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
227650 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02595802 | 05 |
| Street Address |
242 MERRICK RD SUITE 304 |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570-5254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730188343 | Ronald A. Primis | Internal Medicine | 242 Merrick Rd, Suite 301, Rockville Centre, NY 11570-5254 | 2005-07-15 |
| 1225406838 | Winthrop Community Medical Affiliates, P.C. | Internal Medicine | 242 Merrick Rd, Suite 402, Rockville Centre, NY 11570-5254 | 2015-09-14 |
| 1477934917 | Lyndsey Sonkin | Nurse Practitioner | 242 Merrick Rd, Suite 402, Rockville Centre, NY 11570-5254 | 2015-06-10 |
| 1952715773 | South Nassau Oncology Practice, PC | Internal Medicine | 242 Merrick Rd, Rockville Centre, NY 11570-5254 | 2014-06-19 |
| 1033462684 | Varvara Alexiadis | Internal Medicine | 242 Merrick Rd, Ste 403, Rockville Centre, NY 11570-5254 | 2012-10-19 |
| 1134445497 | Valerie Kremer | Internal Medicine | 242 Merrick Rd, 301, Rockville Centre, NY 11570-5254 | 2010-04-12 |
| 1003048927 | Maureen Imelda Reese | Physician Assistant | 242 Merrick Rd, Rockville Centre, NY 11570-5254 | 2009-08-11 |
| 1205094166 | Usdk LLC | Clinic/Center | 242 Merrick Rd, Rockville Centre, NY 11570-5254 | 2008-05-28 |
| 1821256959 | Usdk Medical LLP | Clinic/Center | 242 Merrick Rd, Rockville Centre, NY 11570-5254 | 2008-05-27 |
| 1699959908 | Cough Medical Care of Li PC | Allergy & Immunology | 242 Merrick Rd, Suite 401, Rockville Centre, NY 11570-5254 | 2007-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467679472 | Indra D. Daniels Physician Pllc | Internal Medicine | 2000 N. Village Ave Suite 314, Rockville Centre, NY 11570 | 2007-04-19 |
| 1639172547 | Brian Leonard Erlich | Internal Medicine | 77 N Centre Ave, Ste 300, Rockville Centre, NY 11570-3923 | 2005-05-24 |
| 1619037520 | Renal Care Associates, PC | Internal Medicine | 77 N Centre Ave, #300, Rockville Centre, NY 11570-3923 | 2006-12-11 |
| 1851330328 | John Michael Ioannou | Internal Medicine | 242 Merrick Rd, Suite 304, Rockville Centre, NY 11570-5254 | 2006-06-06 |
| 1982684874 | Island Renal Physicians PC | Internal Medicine | 242 Merrick Rd, Suite 304, Rockville Centre, NY 11570-5254 | 2006-01-18 |
| 1427035971 | Norma Lee Wenger | Internal Medicine | 242 Merrick Rd, Ste 304, Rockville Centre, NY 11570-5254 | 2005-12-27 |
| 1285619098 | Lawrence Michael Kleinman | Internal Medicine | 242 Merrick Rd, Ste 304, Rockville Centre, NY 11570-5254 | 2005-12-14 |
| 1093790800 | Douglas Lax | Internal Medicine | 242 Merrick Rd, Suite 304, Rockville Centre, NY 11570-5254 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275171472 | Health Quest Medical Practice, PC | Internal Medicine | 667 Stoneleigh Ave Ste 123, Carmel, NY 10512-2455 | 2019-12-18 |
| 1881255370 | Marc J Yunis Md PC | Internal Medicine | 1100 Stewart Ave Ste 2, Garden City, NY 11530-4839 | 2019-06-25 |
| 1750841953 | Live Well Medical Care, PC | Internal Medicine | 178 Dahill Rd Ste 1, Brooklyn, NY 11218-2255 | 2019-03-22 |
| 1124509278 | Andre Francis Charest | Internal Medicine | 462 Grider St Fl 11, Buffalo, NY 14215-3021 | 2018-08-27 |
| 1760960132 | Hn&d Company LLC | Internal Medicine | 33 Walt Whitman Rd Ste 114, Huntington Station, NY 11746-3676 | 2018-07-30 |
| 1669979720 | Ambreen Azhar | Internal Medicine | St Lukes Hospital Mount Sinai, 1111 Amsterdam Ave, Nyc, NY 10025 | 2018-04-06 |
| 1659898443 | Broadway Medical Care, P.C. | Internal Medicine | 4117 Judge St Fl 1, Elmhurst, NY 11373-2343 | 2017-08-23 |
| 1023539590 | Ismail Omran | Internal Medicine | 7901 Broadway # C7-10, Elmhurst, NY 11373-1329 | 2017-07-05 |
| 1932636636 | Marco Bonilla | Internal Medicine | 8345 Lefferts Blvd Apt 2c, Kew Gardens, NY 11415-2516 | 2017-05-12 |
| 1386190676 | Mubasshar Rehman | Internal Medicine | Division of Nephrology Mount Sinai St. Luke's Hospital, 1111 Amsterdam Avenue, New York, NY 10025 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
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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.