Corinthian Medical Ipa

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

CORINTHIAN MEDICAL IPA

Practice address

481 Fort Washington Ave
New York, NY 10033-4654

Phone

(212) 740-8294

Fax

(212) 740-8289

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ramon Modesto Tallaj, MD

Title

President

Phone

(212) 740-8294

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124232939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 FORT WASHINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334654",
            "telephone_number": "212-740-8294",
            "fax_number": "212-740-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 FORT WASHINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334654",
            "telephone_number": "212-740-8294",
            "fax_number": "212-740-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORINTHIAN MEDICAL IPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TALLAJ",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "MODESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-740-8294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank John Corigliano, PH.D.
• Marina Julia Corines
• Krista Mae Go Coringcoting
• Brian Thomas Coringrato, DO
• Corinthian Diagnostic Radiology PC
• Corinthian Medical PC
• Corinthian OB GYN, P.C.
• Laura Ellen Corio, MD
• Yamithsu Coriolan, NP
• Alexandra Linda Coritsidis, MD

• Exclusive Provider Organization in New York, NY
• Providers in New York, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.