Active NPI
Chonlada Mokrue, M.D.
- Internal Medicine Physician
- Long Island City, NY
National Provider Identifier
1730136102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 231662-1
- Practice address
- 2715 30TH Ave
Long Island City, NY 11102-2445 - Phone
- (718) 932-0007
- NPI assigned
- May 30, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 231662-1 | NY | Primary |
Addresses
Primary practice location
2715 30TH Ave
Long Island City, NY 11102-2445
Mailing address
324 E 59TH St Apt 5a
New York, NY 10022-1549
Phone (646) 354-0536
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 231662-1 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1730136102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 E 59TH ST APT 5A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221549",
"telephone_number": "646-354-0536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2715 30TH AVE",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111022445",
"telephone_number": "718-932-0007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOKRUE",
"first_name": "CHONLADA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "231662-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.