Eric Chifunda, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

019090-1 Issued in NY

Practice address

116 W 23Rd St Ste 5-552
New York, NY 10011-2599

Phone

(917) 628-3767

NPI assigned

Mar 30, 2017

Last updated

Mar 30, 2017By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Supreme Therapy Services, LLC

  • Home Health Agency
  • New York, NY
  • NPI 1730550971
  NPD (past) Authorized official
• Hands on Healing Rehab,LLC

  • Physical Therapy Clinic/Center
  • Elizabeth, NJ
  • NPI 1245308949
  NPD (past)
• Hands on Therapy PA

  • Physical Therapy Clinic/Center
  • Elizabeth, NJ
  • NPI 1356565550
  NPD (past)

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1497287379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 PEARSALL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695218",
            "telephone_number": "917-628-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W 23RD ST STE 5-552",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112599",
            "telephone_number": "917-628-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIFUNDA",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019090-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Ann Chien, M.D.
• Lina Chien, PHARM.D.
• Samantha Chierchio
• Michael Chietero, M.D.
• Rudo P Chifamba, MS
• Eleanor Chiger, PT, DPT
• Chih-Yung Kuo
• Esther Ugonma Chijioke, M.D
• Kerwin Chik, DC
• Austin Chikamoto

• Occupational Therapist in New York, NY
• Providers in New York, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.