Peter William Ip Fung Chun, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1001 Main Street, Room 5145
Division of Pediatric Medical Education
Buffalo, NY 14203

Phone

(647) 608-2983

Fax

(416) 583-2442

NPI assigned

Jun 20, 2019

Reactivated

Jul 1, 2020

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1821658873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MAIN STREET, ROOM 5145",
            "address_2": "DIVISION OF PEDIATRIC MEDICAL EDUCATION",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "647-608-2983",
            "fax_number": "416-583-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAIN STREET, ROOM 5145",
            "address_2": "DIVISION OF PEDIATRIC MEDICAL EDUCATION",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "647-608-2983",
            "fax_number": "416-583-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IP FUNG CHUN",
        "first_name": "PETER",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "deactivation_date": "2020-02-05",
        "reactivation_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• International Rehabilitative Sciences, Inc.
• Erica Patricia Iocco, MT-BC, LCAT
• Catalina Ionita, M.D.
• River Carlile Ionta, DC
• Paige Elizabeth Iovine-Wong, LMSW, MPH
• Vicki Ip, MD
• Ipc Hospitalist Services of New York, P.C.
• Calogero M Ippolito, MD
• Gabrielle Ippolito, RN
• Iqbal a Samad PC

• Student in an Organized Health Care Education/Training Program in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.