Corazon M Seguritan, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

128309 Issued in NY

Practice address

17 Tibbits LN
Sands Point, NY 11050-1134

Phone

(516) 570-2142

Fax

(516) 570-2142

NPI assigned

Oct 23, 2008

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

Other names 1

• Dr. Corazon M Magsuci Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1043463953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 TIBBITS LN",
            "city": "SANDS POINT",
            "state": "NY",
            "postal_code": "110501134",
            "telephone_number": "516-570-2142",
            "fax_number": "516-570-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 TIBBITS LN",
            "city": "SANDS POINT",
            "state": "NY",
            "postal_code": "110501134",
            "telephone_number": "516-570-2142",
            "fax_number": "516-570-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGURITAN",
        "first_name": "CORAZON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "128309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORAZON",
            "last_name": "MAGSUCI",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dominique Neebe, MA, TVI
• Mozafar Salemi, M.D.
• Danielle Scheinberg, LMSW
• Geraldine Calandrillo Schwartz, R.N
• Peter Lawrence Schwartz, M.D
• Mariann Simms, PHARMD
• Michael White
• Sung C Yim, MD

• All providers in Sands Point, NY
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.