Pui-Ching Mak, Nurse Practitioner in Gerontology, PLLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

340472 Issued in NY

Legal business name

PUI-CHING MAK, NURSE PRACTITIONER IN GERONTOLOGY, PLLC

Practice address

139 Centre St Ste 715a
New York, NY 10013-4557

Phone

(917) 930-5388

NPI assigned

Mar 23, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Pui-Ching E Mak, NP

Title

NP

Phone

(917) 930-5388

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1407387251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST STE 715A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134557",
            "telephone_number": "917-930-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST STE 715A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134557",
            "telephone_number": "917-930-5388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1626 Hendrickson St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112344316",
            "country_code": "US",
            "telephone_number": "917-930-5388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PUI-CHING MAK, NURSE PRACTITIONER IN GERONTOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "MAK",
        "authorized_official_first_name": "PUI-CHING",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "917-930-5388",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "340472",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "440039",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "340472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03573420",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Saverio Pugliese, PT
• Lauren Puglisi
• Patricia Pugni, NP
• Wendy Puguero
• Mark Edward Puhaindran, MBBS
• Adrian Puia, RPT
• Elisabet Pujadas, MD, PHD
• Alexis Peyton Pujol, LMSW LGSW
• Carlos Pujols, DO
• Monica Elizabeth Pujols, DDS

• Gerontology Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Gerontology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.