Gregory Uzodinma Chibuko

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

225 Broadhollow Rd Ste 402
Melville, NY 11747-4899

Phone

(631) 385-7780

NPI assigned

Jan 29, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1306477351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 E 213TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104676157",
            "telephone_number": "631-829-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADHOLLOW RD STE 402",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474899",
            "telephone_number": "631-385-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIBUKO",
        "first_name": "GREGORY",
        "middle_name": "UZODINMA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "text",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Health information exchange",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "726 E 213th St",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104676157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Chavez
• Ross Oran Chavkin, DDS
• Chenen Hsieh MD PC
• Russell James Chertok, LCSW
• Carla Ann Chiappetta, MS
• Kelly Chin, D.O.
• Gina Marie Chiosie-Blum, RN
• Iris Chiou
• Patricia M Chirchirillo
• Katharina Chong, RN

• Behavior Technician in Melville, NY
• Providers in Melville, NY by specialty
• Behavior Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.