NPIMap

Individual provider Active NPI

Chinazo O Cunningham, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Bronx, NY
National Provider Identifier
1972696185
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
204800 Issued in NY
Practice address
305 E 161St St
Bronx, NY 10451-3535
Phone
(718) 579-2500
Fax
(718) 579-2599
NPI assigned
Oct 2, 2006
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 204800 NY
Addiction Medicine (Internal Medicine) Physician 207RA0401X 204800 NY Primary

Addresses

Primary practice location

305 E 161St St
Bronx, NY 10451-3535

Mailing address

305 E 161St St
Bronx, NY 10451-3535
Phone (718) 579-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617001691 NY Practitioner - Internal Medicine 1557345204 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Internal Medicine CurrentSince Jan 1, 2009 Accepting new patients
Montefiore Medical Center CurrentSince Jan 1, 2009 Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients
New York City Health and Hospitals Corporation PastSince Jul 1, 2021 Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

1055 E Tremont Ave
Bronx, NY 10460
Phone (718) 842-8040

111 E 210th St
Bronx, NY 10467

305 E 161st St
Bronx, NY 10451
Phone (718) 410-4711

Ownership & related parties

All facility ownership & control disclosures 18

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Harlem Hospital CenterNew York, NY, CCN 330240 Hospital Corporate Director Jul 1, 2021
Queens Hospital CenterJamaica, NY, CCN 33S231 Hospital Corporate Director Jul 1, 2021
Kings County Hospital CenterBrooklyn, NY, CCN 330202 Hospital Corporate Director Jul 1, 2021
Metropolitan Hospital CenterNew York, NY, CCN 330199 Hospital Corporate Director Jul 1, 2021
Jacobi Medical CenterBronx, NY, CCN 330127 Hospital Corporate Director Jul 1, 2021
Jacobi Medical CenterBronx, NY, CCN 33S127 Hospital Corporate Director Jul 1, 2021
Jacobi Medical CenterBronx, NY, CCN 33T127 Hospital Corporate Director Jul 1, 2021
Bellevue Hospital CenterNew York, NY, CCN 33S204 Hospital Corporate Director Jul 1, 2021
Bellevue Hospital CenterNew York, NY, CCN 33T204 Hospital Corporate Director Jul 1, 2021
Woodhull Medical & Mental Heath CenterBrooklyn, NY, CCN 33S396 Hospital Corporate Director Jul 1, 2021
Elmhurst Hospital CenterElmhurst, NY, CCN 33S128 Hospital Corporate Director Jul 1, 2021
Elmhurst Hospital CenterElmhurst, NY, CCN 33T128 Hospital Corporate Director Jul 1, 2021
Kings County Hospital CenterBrooklyn, NY, CCN 33S202 Hospital Corporate Director Jul 1, 2021
Kings County Hospital CenterBrooklyn, NY, CCN 33T202 Hospital Corporate Director Jul 1, 2021
Metropolitan Hospital CenterNew York, NY, CCN 33S199 Hospital Corporate Director Jul 1, 2021
Metropolitan Hospital CenterNew York, NY, CCN 33T199 Hospital Corporate Director Jul 1, 2021
Lincoln Medical and Mental Health CenterBronx, NY, CCN 33S080 Hospital Corporate Director Jul 1, 2021
HHC Health and Home CareNew York, NY, CCN 337122 Home health agency Corporate Director Jul 1, 2021

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1972696185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E 161ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513535",
            "telephone_number": "718-579-2500",
            "fax_number": "718-579-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E 161ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513535",
            "telephone_number": "718-579-2500",
            "fax_number": "718-579-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "CHINAZO",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "204800",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NY",
            "license": "204800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.