DR. SUSIE CHUN (NPI# 1912144981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912144981 |
| Entity Type | Individual |
| Full Name | DR. SUSIE CHUN |
| Credential | M.D. |
| Practice Address |
550 1st Ave New York NY 10016-6402 |
| Practice Telephone | 6465014139 |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2017-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 273646 | NY | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | A106402 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
273646 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
550 1ST AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10016-6402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290418 | John Anthony Bonavita | Radiology | 550 1st Ave, Nyu Langone Medical Center, Department of Radiology, New York, NY 10016-6402 | 2005-07-26 |
| 1013518349 | Anna Karlene Steve | Surgery | 550 1st Ave, New York, NY 10016-6402 | 2020-11-03 |
| 1659971257 | Claire Elise Domogala | Physician Assistant | 550 1st Ave, New York, NY 10016-6402 | 2020-11-01 |
| 1568061026 | Erica L Bohdan | Dietitian, Registered | 550 1st Ave, New York, NY 10016-6402 | 2020-10-25 |
| 1194324145 | Taylor Kain | Internal Medicine | 550 1st Ave, New York, NY 10016-6402 | 2020-10-21 |
| 1356958375 | Rivka A. Gross | Nurse Practitioner | 550 1st Ave, New York, NY 10016-6402 | 2020-09-24 |
| 1033724935 | Katrin Relman | Nurse Practitioner | 550 1st Ave, New York, NY 10016-6402 | 2020-09-09 |
| 1184239022 | Christen Marie Cudina | Nurse Practitioner | 550 1st Ave, New York, NY 10016-6402 | 2020-09-08 |
| 1649882390 | Raissa Aoun | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2020-08-22 |
| 1508478793 | Lindsay Anne Tetreault | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2020-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1972118206 | Trisha Aloquina | Nurse Practitioner | 106 East 32nd St, 102, New York, NY 10016 | 2020-09-14 |
| 1912519950 | Lionel Thompson Jr. | Social Worker | Bellevue Hospital Center Child & Adolescent Psychiatry, 462 First Avenue Administration Bldg. 2nd Fl., New York, NY 10016 | 2020-08-20 |
| 1134755622 | Samantha Caldona | Behavior Technician | 205 East 35 Street, New York, NY 10016 | 2020-03-17 |
| 1104477504 | Jaclyn A. Silverman | Nurse Practitioner | 113 East 39th Street, New York, NY 10016 | 2019-09-26 |
| 1093376147 | Eskue Therapy, LLC | Massage Therapist | 130 East 40 Street, Ste. 1001, New York, NY 10016 | 2019-06-27 |
| 1952962227 | Richard Callado | Nurse Practitioner | 245 5th Ave Ste 336, New York, NY 10016 | 2019-06-26 |
| 1265096754 | Sharon Brenda Madanes | Student in an Organized Health Care Education/Training Program | Nyu Langone, 550 First Ave., New York, NY 10016 | 2019-04-30 |
| 1124589569 | Krupali Chokshi | Student in an Organized Health Care Education/Training Program | Nyu Langone Hospital, 550 First Ave., New York, NY 10016 | 2019-03-28 |
| 1982160909 | Sherell Miriam Harding | Behavioral Analyst | 204 35th St, New York, NY 10016 | 2019-02-14 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508488040 | Madhok Medical Corporation | Emergency Medicine | 555 Madison Ave Fl 20, New York, NY 10022-3301 | 2020-05-07 |
| 1346892155 | Jonathan Pezhmannia | Emergency Medicine | 2a Cortlandt St, New York, NY 10007-3104 | 2019-07-11 |
| 1588184113 | Elizabeth Boctor | Emergency Medicine | 1901, 1st Avenue, Metropolitan Hospital Center, Dept of Emergency Medicine, New York, NY 10029 | 2017-06-24 |
| 1598129389 | Allan So | Emergency Medicine | 622 W 168th St Ste Vc260, New York, NY 10032-3720 | 2016-04-08 |
| 1255718268 | Anjuli Cogman | Emergency Medicine | 176 Broadway Apt 3c, New York, NY 10038-2516 | 2015-04-28 |
| 1679967525 | Varun Katdare | Emergency Medicine | 1 Gustave L. Place, New York, NY 10029 | 2015-03-27 |
| 1750775979 | Gregory Fernandez | Emergency Medicine | 1 Gustave L. Place, Box 1149, New York, NY 10029 | 2015-03-25 |
| 1053713115 | Krishna Kanth Potluri | Emergency Medicine | 1901 1st Ave # 2a31, New York, NY 10029-7404 | 2014-09-20 |
| 1144635764 | David Attaway | Emergency Medicine | 27 Orchard St Apt 11, New York, NY 10002-6176 | 2014-06-23 |
| 1558781054 | Victoria Ron | Emergency Medicine | 313 W 47th St, Apt 1-w, New York, NY 10036-2407 | 2014-04-23 |
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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.