Individual provider Active NPI

Sheila M. Corporan-Chung

  • Specialist
  • Dobbs Ferry, NY
National Provider Identifier
1669736013
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
32 Springhurst Park
Dobbs Ferry, NY 10522-3100
Phone
(646) 295-8185
NPI assigned
Jun 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY Primary

Addresses

Primary practice location

32 Springhurst Park
Dobbs Ferry, NY 10522-3100

Mailing address

93 Brookside Ave
Mount Vernon, NY 10553-1318
Phone (646) 295-8185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1341014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1669736013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 BROOKSIDE AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531318",
            "telephone_number": "646-295-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SPRINGHURST PARK",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105223100",
            "telephone_number": "646-295-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPORAN-CHUNG",
        "first_name": "SHEILA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-30",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.