DR. TERESITA GOZUM CHU (NPI# 1396803532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396803532 |
Entity Type | Individual |
Full Name | DR. TERESITA GOZUM CHU |
Practice Address |
1400 Pelham Pkwy S Bronx NY 10461-1138 |
Mailing Address |
47 Timber Ridge Dr Coram NY 11727-2443 |
Practice Telephone | 7189183060 |
Practice Fax Number | 7189184469 |
Enumeration Date | 2006-12-04 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
207879-1 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02145926 | 05 |
Street Address |
1400 PELHAM PKWY S |
City | BRONX |
State | NY |
Zip Code | 10461-1138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417942202 | Hale I Perlmutter | Physician Assistant | 1400 Pelham Pkwy S, Building 1 Psychiatry, Bronx, NY 10461-1138 | 2005-09-16 |
1992305213 | Heesun Huh | Pharmacist | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2020-10-27 |
1366059461 | Lifan Liang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-09-23 |
1891301792 | Felipe Jorge Simoes Jones | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Jacobi Medical Center, Bronx, NY 10461 | 2020-09-17 |
1700491875 | Amr Walid Aljaerh | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2020-09-15 |
1669087508 | Ahmad Anjum | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-09-08 |
1144831744 | Paras Malik | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-08-17 |
1508477167 | Maria Gabriela Rubianes Guerrero | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2020-08-16 |
1215548763 | Sneha Nandy | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-08-10 |
1801406368 | Ajita Naik | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-08-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
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Taxonomy Code | 2080P0203X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Critical Care Medicine |
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235631250 | Adi Avniel Aran | Pediatrics | 2600 Netherland Ave Apt 1720, Bronx, NY 10463-4838 | 2018-03-06 |
1023276433 | Denise Joanna Nunez | Pediatrics | 3415 Bainbridge Ave, Cham, Bronx, NY 10467-2403 | 2008-06-02 |
1609033703 | Shivanand Shankar Medar | Pediatrics | 111 E 210th St, Montefiore Medical Center, Bronx, NY 10467-2401 | 2008-05-18 |
1215104088 | Cesar F Mella | Pediatrics | 1276 Fulton Ave, Room 208, Bronx, NY 10456-3402 | 2008-05-12 |
1558488098 | James Scott Killinger | Pediatrics | 111 E 210th St, Children's Hospital At Montefiore, Bronx, NY 10467-2401 | 2007-03-22 |
1528132255 | Dora M Alvarez | Pediatrics | 234 E 149th St, Pediatric Dpt. 4 A-20, Bronx, NY 10451-5504 | 2006-11-17 |
1558432930 | Diana King | Pediatrics | Mmc - Peds. Emergency Medicine, 111 East 210th Street, Bronx, NY 10467 | 2006-11-10 |
1508942442 | Chhavi Katyal | Pediatrics | Cham, 3415 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-31 |
1104902055 | Lewis P Singer | Pediatrics | Cham, 3415 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-31 |
1558447409 | Jacqueline S Weingarten-arams | Pediatrics | Cham, 3415 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-31 |
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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.