Active NPI
Tschaka Tonge, PA
- Physician Assistant
- Bronx, NY
National Provider Identifier
1245480987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002086
- Practice address
- 85 W Burnside Ave
Bronx, NY 10453-4015 - Phone
- (718) 716-4400
- Fax
- (718) 228-7471
- NPI assigned
- Sep 30, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002086 | NY | Primary |
Addresses
Primary practice location
85 W Burnside Ave
Bronx, NY 10453-4015
Mailing address
85 West Burnside Avenue
Bronx, NY 10453-4015
Phone (718) 716-4400
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002086 | NY | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297209600000",
"number": "1245480987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 WEST BURNSIDE AVENUE",
"city": "BRONX",
"state": "NY",
"postal_code": "104534015",
"telephone_number": "718-716-4400",
"fax_number": "718-228-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 W BURNSIDE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104534015",
"telephone_number": "718-716-4400",
"fax_number": "718-228-7471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONGE",
"first_name": "TSCHAKA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-30",
"last_updated": "2011-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "002086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.