DR. CHARLES I. OKWUNDU (NPI# 1861914202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861914202 |
| Entity Type | Individual |
| Full Name | DR. CHARLES I. OKWUNDU |
| Credential | MD |
| Practice Address |
5757 78th St Flushing NY 11379-5303 |
| Mailing Address |
100 Airport Gardens Rd Ste 311 Hazard KY 41701-9529 |
| Practice Telephone | 9294218395 |
| Mailing Telephone | 6064396978 |
| Mailing Fax Number | 6064396927 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2020-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | TP161 | KY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5757 78TH ST |
| City | FLUSHING |
| State | NY |
| Zip Code | 11379-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891313771 | Metro Chemists Pharmacy Inc. | Pharmacy | 73-01a Metropolitan Ave, Middle Village, NY 11379 | 2020-07-08 |
| 1063971760 | Nina Rapaport | Counselor | 63-17b Metropolitan Ave, Middle Village, NY 11379 | 2019-03-13 |
| 1275051864 | Ruo Ting Chen | Pharmacist | 7660 Metropolitan Ave, Middle Village, NY 11379 | 2017-09-02 |
| 1730618018 | Technology Testing of Ny, LLC | Technician | 7114 66 Drive, #3, Middle Village, NY 11379 | 2017-06-08 |
| 1306375662 | Vincent Pennisi | Family Medicine | 7550 Furmanville Avenue, Middle Village, NY 11379 | 2017-06-08 |
| 1700244977 | Bibi Macoon | Specialist | 63-25 Dry Harbor Road, Middle Village, NY 11379 | 2016-02-03 |
| 1588021562 | Christina Bott | Dentist | 61-02 82 St, Middle Village, NY 11379 | 2016-01-22 |
| 1518343326 | Licet Valois | Social Worker | 70-01 Metropolitan Avenue, Queens, NY 11379 | 2015-08-04 |
| 1104225002 | Resiliency Express Lcsw PC | Clinic/Center | 74-05 Metropolitan Avenue, 2nd Floor, Middle Village, NY 11379 | 2014-08-15 |
| 1710308044 | Mineola Eye Care 2 Inc | Eyewear Supplier (Equipment, not the service) | 8220 A Eliot Aveune, Middle Village, NY 11379 | 2014-01-06 |
| Find all providers in zip 11379 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619508900 | Total Care Pediatrics Pllc | Pediatrics | 4265 Kissena Blvd # L4, Flushing, NY 11355-3273 | 2020-01-27 |
| 1609425040 | Yoojin Kim M.d.p.c | Pediatrics | 15814 Northern Blvd Ste Ml7, Flushing, NY 11358-1600 | 2019-09-09 |
| 1013440262 | Alicia Marie Mcbride | Pediatrics | 5645 Main St Fl 1, Flushing, NY 11355-5045 | 2017-04-05 |
| 1841672961 | Chak Shui Wong | Pediatrics | 4265 Kissena Blvd Ste L4, Flushing, NY 11355-3273 | 2015-06-25 |
| 1497161558 | Jae Hong Min, M.d.,p.c. | Pediatrics | 3409 Murray St Fl 1, Flushing, NY 11354-3948 | 2014-07-09 |
| 1235494899 | Meenakshi Bhuvaneswar | Pediatrics | 139-25-31st Rd, Apt 4a, Flushing, NY 11354 | 2012-07-10 |
| 1952693228 | Michael Jerry Lee | Pediatrics | 136-26 37th Avenue, Flushing, NY 11354-1721 | 2011-05-05 |
| 1598064107 | Hongye Li | Pediatrics | 13107 40th Rd Ste E09, Flushing, NY 11354-5208 | 2011-03-22 |
| 1437454576 | Irfan Asra | Pediatrics | 42-55 Colden St, Apt 6c, Flushing, NY 11355 | 2011-01-21 |
| 1346556792 | Mamatha Sundaresh Md | Pediatrics | 149-45 Northern Blvd, Flushing, NY 11354 | 2010-08-24 |
| Find all providers in FLUSHING | ||||
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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.