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AZUCENA MICAELA HERRERA CHANCAY MD
NPI 1629696729
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since July 06, 2020PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(718) 920-9892(718) 920-9036 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Azucena Micaela Herrera Chancay Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AZUCENA MICAELA HERRERA CHANCAY MD (NPI 1629696729) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1629696729
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAZUCENA MICAELA HERRERA CHANCAYCredential: MD
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-9892 · Fax (718) 920-9036
Phone(718) 920-9892
Fax(718) 920-9036
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 6, 2020
NPPES CertifiedJuly 6, 2020
✔ NPI 1629696729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
111 E 210TH ST, Bronx, NY 10467
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Azucena Micaela Herrera Chancay Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628549474
PECOS Enrollment IDI20260603000842
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MADHU SHARMA MD
Pediatrics (Pediatric Cardiology)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Bronx County (718) 741-2538
DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Azucena Herrera Chancay's NPI number?

The NPI number for Azucena Herrera Chancay is 1629696729. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Where is Azucena Herrera Chancay located?

Azucena Herrera Chancay practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-9892.

What is Azucena Herrera Chancay's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Azucena Herrera Chancay enrolled in Medicare?

Yes. Azucena Herrera Chancay is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Azucena Herrera Chancay was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.