Active NPI
Tariq Chukir, M.D.
- Student in an Organized Health Care Education/Training Program
- New York, NY
National Provider Identifier
1316327620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1484 First Avenue, 2ND Floor
Weill Cornell Internal Medicine Associates
New York, NY 10075 - Phone
- (212) 746-7077
- Fax
- (212) 746-7094
- NPI assigned
- Jun 2, 2015
- Reactivated
- Feb 8, 2017
- Last updated
- Feb 8, 2017
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
1484 First Avenue, 2ND Floor
Weill Cornell Internal Medicine Associates
New York, NY 10075
Mailing address
1484 First Avenue, 2ND Floor
Weill Cornell Internal Medicine Associates
New York, NY 10075
Phone (212) 746-7077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Past | Accepting new patients | |
| Weill Medical College of Cornell | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
dba Cornell Internal Medical Associates
- Internal Medicine Physician
- New York, NY
- NPI 1932127743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1316327620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1484 FIRST AVENUE, 2ND FLOOR",
"address_2": "WEILL CORNELL INTERNAL MEDICINE ASSOCIATES",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10075",
"telephone_number": "212-746-7077",
"fax_number": "212-746-7094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1484 FIRST AVENUE, 2ND FLOOR",
"address_2": "WEILL CORNELL INTERNAL MEDICINE ASSOCIATES",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10075",
"telephone_number": "212-746-7077",
"fax_number": "212-746-7094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUKIR",
"first_name": "TARIQ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-02",
"last_updated": "2017-02-08",
"deactivation_date": "2016-01-19",
"reactivation_date": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"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 Feb 8, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.