Active NPI
Pedro A Corzo, M.D.
- Internal Medicine Physician
- Corona, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 191262
- Practice address
- 10308 Roosevelt Ave
Corona, NY 11368-2330 - Phone
- (718) 205-4065
- Fax
- (718) 205-4053
- NPI assigned
- Dec 28, 2006
- Last updated
- Apr 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 191262 | NY | Primary |
Addresses
Primary practice location
10308 Roosevelt Ave
Corona, NY 11368-2330
Mailing address
60 Dogwood Ave
Roslyn, NY 11576-1204
Phone (516) 621-0086
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10418 Roosevelt Ave
Corona, NY 11368-2328
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191262 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PA Corzo Medical PLLC | Internal Medicine | Current | Accepting new patients |
| Dental & Family Medical Center | Past | Accepting new patients | |
| Caledonian Health Center | Past | Accepting new patients | |
| TBHC Medical Services PC | Past | Accepting new patients |
Locations
10418 Roosevelt Ave
#1
Corona, NY 11368
Phone (718) 205-4065
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Corona, NY
- NPI 1558156679
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1184657355
-
- Clinic/Center
- Brooklyn, NY
- NPI 1013096767
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1508959743
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1770513145
-
- Home Health Agency
- Bronx, NY
- NPI 1154025237
-
dba Girling Health Care of New york, Inc
- Home Health Agency
- Brooklyn, NY
- NPI 1568886653
-
- Home Health Agency
- Flushing, NY
- NPI 1235529538
-
dba Shining Star Home Health Care, LLC.
- Home Health Agency
- Brooklyn, NY
- NPI 1205128147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1275699852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 DOGWOOD AVE",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115761204",
"telephone_number": "516-621-0086",
"fax_number": "718-205-4053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10308 ROOSEVELT AVE",
"city": "CORONA",
"state": "NY",
"postal_code": "113682330",
"telephone_number": "718-205-4065",
"fax_number": "718-205-4053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORZO",
"first_name": "PEDRO",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "191262",
"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 Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.