Corona Ing Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

CORONA ING INC

Practice address

3719 108TH St
Corona, NY 11368-4176

Phone

(718) 406-9032

Fax

(917) 745-1561

NPI assigned

Dec 2, 2021

Organization subpart

No

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

Authorized official

Name

Roza Bagdasarova

Title

Owner

Phone

(718) 406-9032

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1235897653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 108TH ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684176",
            "telephone_number": "718-406-9032",
            "fax_number": "917-745-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 108TH ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684176",
            "telephone_number": "718-406-9032",
            "fax_number": "917-745-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA ING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "BAGDASAROVA",
        "authorized_official_first_name": "ROZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-406-9032"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Corona Hub Inc
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• Corona Medical Testing PLLC
• Corona Optometry PC
• Corona Optometry, PC
• Corona Pharmacy Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.