Rica Victoria Bofill Chuachingco, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

439864-1 Issued in NY

Practice address

100 Clinton Ave Apt 4B
Mineola, NY 11501-2851

Phone

(516) 841-7225

NPI assigned

Sep 25, 2019

Last updated

Sep 25, 2019By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1932750445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CLINTON AVE APT 4B",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012851",
            "telephone_number": "516-841-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CLINTON AVE APT 4B",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012851",
            "telephone_number": "516-841-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUACHINGCO",
        "first_name": "RICA VICTORIA",
        "middle_name": "BOFILL",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "439864-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dolmattie Chopra, RPAC
• Samira A Chowdhury, MD
• Christina M Christensen
• Christine a Knapp Mental Health Counselor PC
• Anthony Chu, M.D.
• Christine Chung, M.D.
• Christopher Chung, DPM
• Eunah Chung, M.D.
• Ju Ri Chung, PHARMD
• Susan J Chung, P.A.

• Registered Nurse in Mineola, NY
• Providers in Mineola, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.