SUDHA KUNCHAM (NPI# 1164501185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164501185 |
| Entity Type | Individual |
| Full Name | SUDHA KUNCHAM |
| Credential | MD |
| Practice Address |
2428 Merrick Rd Bellmore NY 11710-5704 |
| Practice Telephone | 5163792689 |
| Practice Fax Number | 5168673880 |
| Mailing Telephone | 5163792689 |
| Mailing Fax Number | 5168673880 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2009-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 159205 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE ID# | 84D771 | 01 |
| Street Address |
2428 MERRICK RD |
| City | BELLMORE |
| State | NY |
| Zip Code | 11710-5704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760465405 | Ronnie Marsha Salzman | Obstetrics & Gynecology | 2428 Merrick Rd, Bellmore, NY 11710-5704 | 2005-11-28 |
| 1336534221 | Bellmore Podiatry PC | Podiatrist | 2428 Merrick Rd, Bellmore, NY 11710-5745 | 2015-03-30 |
| 1184063596 | North Bellmore Foot Care | Preferred Provider Organization | 2428 Merrick Rd, Bellmore, NY 11710-5745 | 2013-06-19 |
| 1811214091 | Lauren Michele Bashian | Obstetrics & Gynecology | 2428 Merrick Rd, Bellmore, NY 11710-5745 | 2010-04-27 |
| 1215268685 | Annie Frenkel | Obstetrics & Gynecology | 2428 Merrick Rd, Bellmore, NY 11710-5745 | 2010-01-25 |
| 1831338649 | North Bellmore Fotcare P.c | Podiatrist | 2428 Merrick Rd, Bellmore, NY 11710-5745 | 2009-02-18 |
| 1588831325 | Christina Pecoraro | Physician Assistant | 2428 Merrick Rd, Bellmore, NY 11710-5704 | 2008-05-12 |
| 1043497837 | Dr Frederick Lubell, Dpm | Clinic/Center | 2428 Merrick Rd, Bellmore, NY 11710-5704 | 2008-01-24 |
| 1902969918 | Carol A Caico | Nurse Practitioner | 2428 Merrick Rd, Long Island Womens Healthcare, Bellmore, NY 11710 | 2006-12-19 |
| 1477523355 | Steven Milim | Specialist | 2428 Merrick Rd, Bellmore, NY 11710-5704 | 2006-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437705761 | Marina Argueta | Behavioral Analyst | 2631 Merrick Road Suite 302, Bellmore, NY 11710 | 2019-08-13 |
| 1306328760 | Stephen John Harding | Behavioral Analyst | 2631 Merrick Rd Suite 302, Bellmore, NY 11710 | 2018-09-02 |
| 1700363314 | Joan Iannotta | Behavioral Analyst | 2459 Lefferts Pl, Bellmore, NY 11710 | 2018-07-26 |
| 1679059554 | Tara Ann Donlon | Counselor | 8 Whitman Ave, Bellmore, NY 11710 | 2018-07-13 |
| 1730676511 | Tanya Spitznagel | Physical Therapy Assistant | 2665 Natta Blvd, Bellmore, NY 11710 | 2018-04-17 |
| 1992208193 | Casey A Faulkner | Art Therapist | 2734 Judith Drive, Bellmore, NY 11710 | 2018-03-14 |
| 1922500479 | Yin Lin | Psychologist | 2595 Interstate Dr Suite 103, Harrisburg, PA 11710 | 2018-03-01 |
| 1992203756 | Sheryl Ackerman | Specialist/Technologist, Other | 2465 Shelly Court, Bellmore, NY 11710 | 2018-01-26 |
| 1578082491 | Toyin Olorunnishola | Behavioral Analyst | A and J Behavioral Health, Inc, Suite 302, Bellmore, Ny, NY 11710 | 2017-09-12 |
| 1346779782 | Official Bbl Pillow | Durable Medical Equipment & Medical Supplies | 2881 Bellmore Ave, Bellmore, NY 11710 | 2017-06-08 |
| Find all providers in zip 11710 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407324072 | Karen Grimes | Specialist | 2813 Boundary Rd, Bellmore, NY 11710-4728 | 2018-11-12 |
| 1821539982 | Ashley Elizabeth Pappas | Specialist | 1733 Bellmore Ave, Bellmore, NY 11710 | 2017-03-09 |
| 1194166223 | Blake Palagonia | Specialist | 3019 Timothy Rd, Bellmore, NY 11710-5225 | 2013-07-17 |
| 1811235534 | Kristen Sundack | Specialist | 2988 Len Dr, Bellmore, NY 11710-5206 | 2013-01-30 |
| 1508121955 | Angela Villarico | Specialist | 2556 Legion Street, Bellmore, NY 11710-4905 | 2012-07-11 |
| 1003179391 | Dawn Victoria Fishman | Specialist | 2991 Shore Rd, Bellmore, NY 11710-4830 | 2012-06-21 |
| 1770846263 | Mary Beth O'donnell | Specialist | 610 Hughes St, Bellmore, NY 11710-4003 | 2012-06-19 |
| 1962764035 | Sandra Verbsky | Specialist | 2502 Navy Pl, Bellmore, NY 11710-4813 | 2012-06-13 |
| 1770845042 | Jennifer White | Specialist | 405 Hughes St, Bellmore, NY 11710-4008 | 2012-06-13 |
| 1386905123 | Roslyn Alyce Radinsky | Specialist | 2542 Erick Ct, Bellmore, NY 11710-4901 | 2012-06-07 |
| Find all providers in BELLMORE | ||||
Please comment or provide details below to improve the information on SUDHA KUNCHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.