Active NPI
Patrice Charles Cordner
- Specialist
- Brooklyn, NY
National Provider Identifier
1053668913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 670308
- Practice address
- 5123 Avenue I
Brooklyn, NY 11234-1606 - Phone
- (718) 209-3122
- NPI assigned
- Aug 10, 2012
- Last updated
- Aug 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 670308 | NY | Primary |
Addresses
Primary practice location
5123 Avenue I
Brooklyn, NY 11234-1606
Mailing address
5123 Avenue I
Brooklyn, NY 11234-1606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 670308 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1053668913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5123 AVENUE I",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112341606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5123 AVENUE I",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112341606",
"telephone_number": "718-209-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES CORDNER",
"first_name": "PATRICE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-10",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "670308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
- Charleen' S Stroke Care Fund
- Charlene Chao, MD, PLLC
- Faye Charlery
- Charles Bigajer & Robert S Tracer MD PLLC
- Charles Chang DDS PC
- Charles E Morris
- Charles E. McDermott, M.D., PC (Adult, Adolescent & Aging Counseling & Psychiatry)
- Charles Henry Starke II M.D. P.C.
- Charles I. Ornstein (Twenty/Twenty Optical)
- Charles J Pearlman MD PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.