Individual provider Active NPI

Christopher Corines, MD

  • Internal Medicine Physician
  • Bayside, NY
National Provider Identifier
1255444121
Registry record updated Mar 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
153749 Issued in NY
Practice address
4401 Francis Lewis Blvd Ste L3B
Bayside, NY 11361
Phone
(718) 717-0201
Fax
(718) 717-0271
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 153749 NY
Internal Medicine Physician 207R00000X 153749 NY Primary

Addresses

Primary practice location

4401 Francis Lewis Blvd Ste L3B
Bayside, NY 11361

Mailing address

4401 Francis Lewis Blvd Ste L3B
Bayside, NY 11361-3028
Phone (718) 717-0201

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ccorines249844@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101202000336 NY Practitioner - Internal Medicine 5698961647 Reassigns benefits to 2 organizations
Practice locations: Bayside, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince May 1, 2018 Accepting new patients
New York University Internal Medicine CurrentSince May 1, 2018 Accepting new patients

Locations

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1255444121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 FRANCIS LEWIS BLVD STE L3B",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613028",
            "telephone_number": "718-717-0201",
            "fax_number": "718-717-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 FRANCIS LEWIS BLVD STE L3B",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11361",
            "telephone_number": "718-717-0201",
            "fax_number": "718-717-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORINES",
        "first_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "153749",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "153749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccorines249844@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "4401 Francis Lewis Blvd Ste L3B",
            "city": "Bayside",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.