Organization Active NPI

Corona Medical Testing PLLC

  • Surgery Physician
  • Corona, NY
National Provider Identifier
1235895475
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CORONA MEDICAL TESTING PLLC
Practice address
4306 102ND St
Corona, NY 11368-2452
Phone
(253) 736-2818
Fax
(253) 939-2376
NPI assigned
Nov 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Mark H Tseng, MDNPI 1669631651
Title
Owner
Phone
(718) 541-1367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

4306 102ND St
Corona, NY 11368-2452

Mailing address

13107 40TH Rd Unit E26E20
Flushing, NY 11354-5116
Phone (253) 736-2818

Other practice location 1

13107 40th Rd Unit E26E20
Flushing, NY 11354-5116
Phone (253) 736-2818

National Provider Directory

National Provider Directory

Locations

4306 102nd St
Corona, NY 11368
Phone (253) 736-2818

13107 40th Rd
Unit E26E20
Flushing, NY 11354
Phone (253) 736-2818

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1235895475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13107 40TH RD UNIT E26E20",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545116",
            "telephone_number": "253-736-2818",
            "fax_number": "253-939-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 102ND ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682452",
            "telephone_number": "253-736-2818",
            "fax_number": "253-939-2376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13107 40th Rd Unit E26E20",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545116",
            "country_code": "US",
            "telephone_number": "253-736-2818",
            "fax_number": "253-939-2376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORONA MEDICAL TESTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "TSENG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-541-1367",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.