Individual provider Active NPI

Chun Fan Chiu

  • Student in an Organized Health Care Education/Training Program
  • Brooklyn, NY
National Provider Identifier
1750635355
Registry record updated Nov 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
1875666 Issued in NY
Practice address
8200 Bay Pkwy
A21
Brooklyn, NY 11214-2662
Phone
(718) 864-1912
NPI assigned
Nov 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 1875666 NY Primary

Addresses

Primary practice location

8200 Bay Pkwy
A21
Brooklyn, NY 11214-2662

Mailing address

8200 Bay Pkwy
A21
Brooklyn, NY 11214-2662
Phone (718) 864-1912

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

State licenses

LicenseStateTypeSpecialty
1875666NYMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1351987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351987200000",
    "number": "1750635355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 BAY PKWY",
            "address_2": "A21",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142662",
            "telephone_number": "718-864-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 BAY PKWY",
            "address_2": "A21",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142662",
            "telephone_number": "718-864-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIU",
        "first_name": "CHUN FAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-04",
        "last_updated": "2012-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "1875666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2012; 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.