Chaim Wanounou, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

007367 Issued in NY

Practice address

100 Ross St
Brooklyn, NY 11211-7672

Phone

(718) 387-7628

NPI assigned

Jun 28, 2005

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Finif Medical PCGroup PAC ID 9234500240, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JFFDAA/Endpoint/JFFDAA

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

• Finif Medical, PC

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1942954623
  Medicare reassignment Care Compare group
• Bedford Medical Family Health Center, Inc.

  • Primary Care Clinic/Center
  • Brooklyn, NY
  • NPI 1295928489
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gamzel Ny, Inc

  dba Revival Home Health Care

  • Home Health Agency
  • Staten Island, NY
  • NPI 1841233178
  Care Compare affiliation

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1285630848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 RYDER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344307",
            "telephone_number": "718-253-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROSS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117672",
            "telephone_number": "718-387-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANOUNOU",
        "first_name": "CHAIM",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "007367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahwish Bashir Wani, MD
• Cheryll Wanliss, NP-C
• Wannacare LLC
• Frances Brooks Wanning
• Brucha Wanounou, FNP
• Dina Wanounou
• Wanyun Xue Dental P.C. (Carroll Gardens Pediatric Dentistry)
• Mindi Wapner, PHD
• Omar Waqar, MD
• Sana Hassan Waqar, DO

• Medical Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.