Organization Active NPI

C Corina Gerontis MD PC

  • Ophthalmology Physician
  • Commack, NY
National Provider Identifier
1366521445
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
C CORINA GERONTIS MD PC
Practice address
353 Veterans Memorial Hwy
Suite 101
Commack, NY 11725-4233
Phone
(631) 439-5440
Fax
(631) 439-5447
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Authorized official

Name
Catherine C Gerontis, MD
Title
MD
Phone
(631) 439-5440

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 188154 NY

Addresses

Primary practice location

353 Veterans Memorial Hwy
Suite 101
Commack, NY 11725-4233

Mailing address

PO Box 595
Commack, NY 11725-0595
Phone (631) 439-5440

Other identifiers 1

IdentifierTypeStateIssuer
01569231MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1366521445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 595",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117250595",
            "telephone_number": "631-439-5440",
            "fax_number": "631-439-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 101",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254233",
            "telephone_number": "631-439-5440",
            "fax_number": "631-439-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C CORINA GERONTIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "GERONTIS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-439-5440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "188154",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01569231",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.