Active NPI
Chonyi Dolma
- Registered Nurse
- Fresh Meadows, NY
National Provider Identifier
1154748028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 670010-1
- Practice address
- 7504 187TH St
Fresh Meadows, NY 11366-1726 - Phone
- (718) 264-8537
- NPI assigned
- Mar 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 670010-1 | NY | Primary |
Addresses
Primary practice location
7504 187TH St
Fresh Meadows, NY 11366-1726
Mailing address
3560 74TH St
Apt 707
Jackson Heights, NY 11372-4316
Phone (646) 420-9556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VP75360U | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 670010-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395878400000",
"number": "1154748028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3560 74TH ST",
"address_2": "APT 707",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113724316",
"telephone_number": "646-420-9556",
"fax_number": "718-937-2664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7504 187TH ST",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661726",
"telephone_number": "718-264-8537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLMA",
"first_name": "CHONYI",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-27",
"last_updated": "2014-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "670010-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "VP75360U",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.