Corona Gynecological Medical Services, PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

092267 Issued in NY

Legal business name

CORONA GYNECOLOGICAL MEDICAL SERVICES, PC

Practice address

10408 Roosevelt Ave
2ND Floor
Corona, NY 11368-2328

Phone

(718) 779-2666

Fax

(718) 779-6006

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Joel Cooper, M.D.

Title

Medical Director

Phone

(718) 779-2666

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1053553388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10408 ROOSEVELT AVE",
            "address_2": "2ND FLOOR",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682328",
            "telephone_number": "718-779-2666",
            "fax_number": "718-779-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10408 ROOSEVELT AVE",
            "address_2": "2ND FLOOR",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682328",
            "telephone_number": "718-779-2666",
            "fax_number": "718-779-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA GYNECOLOGICAL MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-779-2666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "092267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Corona, NY
• Providers in Corona, NY by specialty
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.