Maryam Chudnoff

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R55040 Issued in NM

Practice address

826 Headingly Ave NW
Albuquerque, NM 87107-3525

Phone

(575) 770-4904

NPI assigned

Jun 16, 2026

Sex

Female

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)

Not enrolled

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1578498952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 HEADINGLY AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073525",
            "telephone_number": "575-770-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 HEADINGLY AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073525",
            "telephone_number": "575-770-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDNOFF",
        "first_name": "MARYAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R55040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrysalis Enterprises
• Chrysalis Healthcare LLC
• Marissa Chrysler
• Qi Chu, D.O.M, L.AC
• Mary Lou Chua
• Uchenna Chukwurah, DPM
• Ann Chung
• Christina K. Chung, D.D.S.
• Hae-NA Chung
• Kevin Huen Chung, PHARMD

• Registered Nurse in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.