Micky Chun (NPI# 1306821434, PAC ID# 3971408717) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1306821434 |
| PAC ID by PECOS | 3971408717 |
| Professional Enrollment ID | I20031204000430 |
| Full Name | Micky Chun |
| Organization Legal Name | PRINE HEALTH MEDICAL GROUP PLLC |
| Address |
1129 Northern Blvd Suite 101 Manhasset NY 11030-3022 |
| Phone Number | 5163655570 |
| Gender | M |
| Credential | MD |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 1998 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 1557600384 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330259 | MERCY MEDICAL CENTER |
| 330198 | SOUTH NASSAU COMMUNITIES HOSPITAL |
| 330332 | CHSLI ST JOSEPH HOSPITAL |
| 330106 | NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET |
| 330331 | PLAINVIEW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 20110 Northern Blvd, Suite 304, Bayside, NY 11361-2542 | 5163655570 | PRINE HEALTH MEDICAL GROUP PLLC |
| 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3022 | 5163655570 | PRINE HEALTH MEDICAL GROUP PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | PRINE HEALTH MEDICAL GROUP PLLC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa R Berger | Internal Medicine | Prine Health Medical Group Pllc | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3022 |
| Douglas Lax | Nephrology | Prine Health Medical Group Pllc | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3022 |
| Renata Dworzanczyk | Nurse Practitioner | Prine Health Medical Group Pllc | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3022 |
| Sayed S Ali | Nephrology | Prine Health Medical Group Pllc | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3022 |
| Arielle Freilich | Family Medicine | Prine Health Medical Group Pllc | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3022 |
| Arkadiy Pinkhasov | Nephrology | Prine Health Medical Group Pllc | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3022 |
| Joonho Park | Nephrology | Prine Health Medical Group Pllc | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3022 |
| Lawrence M Kleinman | Nephrology | Prine Health Medical Group Pllc | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3022 |
| Jeffrey Todd Cohen | Nephrology | Prine Health Medical Group Pllc | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3022 |
| Lenore Carroll | Nurse Practitioner | Prine Health Medical Group Pllc | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3022 |
| Street Address |
1129 NORTHERN BLVD SUITE 101 |
| City | MANHASSET |
| State | NY |
| Zip | 11030-3022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larina R Rosa | Optometry | North Shore Optometric Group, PC | 1129 Northern Blvd, Suite 100, Manhasset, NY 11030-3022 |
| Lisa R Berger | Internal Medicine | Prine Health Medical Group Pllc | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3022 |
| Sharon B Markovics | Allergy/immunology | Prohealth Care Associates LLP | 1129 Northern Blvd, Suite 300, Manhasset, NY 11030-3022 |
| Douglas Lax | Nephrology | Prine Health Medical Group Pllc | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3022 |
| Renata Dworzanczyk | Nurse Practitioner | Prine Health Medical Group Pllc | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3022 |
| Sayed S Ali | Nephrology | Prine Health Medical Group Pllc | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3022 |
| Arielle Freilich | Family Medicine | Prine Health Medical Group Pllc | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3022 |
| Arkadiy Pinkhasov | Nephrology | Prine Health Medical Group Pllc | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3022 |
| Joonho Park | Nephrology | Prine Health Medical Group Pllc | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3022 |
| Lawrence M Kleinman | Nephrology | Prine Health Medical Group Pllc | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3022 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Lerner | Diagnostic Radiology | 37 Valley Rd, Manhasset, NY 11030-1441 | |
| Anna K Imperato | Rheumatology | 19 Orchard St, Suite 1, Manhasset, NY 11030-1921 | |
| Peter J Lacorte | Optometry | 433 Plandome Rd, Manhasset, NY 11030-1942 | |
| Charles B Beasley | Psychiatry | 565 Plandome Rd, Suite 169, Manhasset, NY 11030-1945 | |
| Ilan J Safir | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Gary Goldberg | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Sarah K Girardi | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Dennis Lynch | Physician Assistant | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Felix L Badillo | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Anthony L Luciano | Internal Medicine | 450 Plandome Rd, Suite 2, Manhasset, NY 11030-1962 | |
| Find all physicians in zip 11030 | |||
| City | MANHASSET |
| Zip Code | 11030 |
| Specialty | NEPHROLOGY |
| City + Specialty | MANHASSET + NEPHROLOGY |
Please comment or provide details below to improve the information on Micky Chun.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.