Gwen S. Korovin, M.D. P.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

163850 Issued in NY

Legal business name

GWEN S. KOROVIN, M.D. P.C.

Practice address

70 E 77TH St
1B
New York, NY 10075-1811

Phone

(212) 879-6630

Fax

(212) 650-9736

NPI assigned

Dec 28, 2011

Organization subpart

No

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

Authorized official

Name

Miss Gwen S Korovin, M.D.NPI 1053465344

Title

Doctor

Phone

(212) 879-6630

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gwen S Korovin, M.D.

  • Otolaryngology Physician
  • New York, NY
  • NPI 1053465344
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1063781698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E 77TH ST",
            "address_2": "1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751811",
            "telephone_number": "212-879-6630",
            "fax_number": "212-650-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E 77TH ST",
            "address_2": "1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751811",
            "telephone_number": "212-879-6630",
            "fax_number": "212-650-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWEN S. KOROVIN, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "KOROVIN",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "212-879-6630",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "163850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marya Gwadz, PH.D.
• Angela S Gwak, MFT, PHD
• Donna Gwak, PA-C
• Brynn Gwartzman
• Kelly G. Gwathmey, M.D.
• Caroline Gwin, CPNP
• David Kelly Gwin, MA, LMHC
• Nigel Gwini
• Krista L Gwon, PH.D.
• GWS Home Care LLC

• Health Service Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.