Mitchell Kun

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

046565 Issued in NY

Practice address

3319 Avenue N Ste 1
Brooklyn, NY 11234-2605

Phone

(718) 258-3300

NPI assigned

Dec 7, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pro Staff Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Nutley, NJ
  • NPI 1265750871

  Physical Therapist

  NPD
• Pro Staff Physical Therapy PC

  • Occupational Therapist
  • Nutley, NJ
  • NPI 1770116527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1104422195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 E 29TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295027",
            "telephone_number": "646-683-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 AVENUE N STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342605",
            "telephone_number": "718-258-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUN",
        "first_name": "MITCHELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamari Kumsiashvili
• Narendra Anand Kumthekar, M.D.
• Sandra Kumwong, DO
• Kenneth Kun, PHARM.D
• Maya Kun, D.O.
• Olga Kun, IBCLC
• Chandra Kuncham, M.D.
• Elizabeth R. Kunda, DPM
• Sanchit Vijay Kundal, M.B.B.S
• Piyali Kundu-Veldhoven, LCSW

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.