Active NPI
Vivian Helena Jonokuchi, MA
- Clinical Exercise Physiologist
- New York, NY
National Provider Identifier
1174381388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- Practice address
- 1468 Madison Ave BLDG 4TH
New York, NY 10029-6508 - Phone
- (203) 209-7959
- NPI assigned
- Mar 12, 2024
- Last updated
- Mar 12, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Exercise Physiologist | 224Y00000X | NY | Primary |
Addresses
Primary practice location
1468 Madison Ave BLDG 4TH
New York, NY 10029-6508
Mailing address
155 W 68TH St Apt 1732
New York, NY 10023-5830
Phone (203) 209-7959
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1174381388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 W 68TH ST APT 1732",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100235830",
"telephone_number": "203-209-7959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1468 MADISON AVE BLDG 4TH",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296508",
"telephone_number": "203-209-7959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONOKUCHI",
"first_name": "VIVIAN",
"middle_name": "HELENA",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-12",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.