Corona Medical Associates

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

152166 Issued in NY

Legal business name

CORONA MEDICAL ASSOCIATES

Practice address

3751 91St St
Jackson Heights, NY 11372-7927

Phone

(718) 205-5355

Fax

(718) 429-7952

NPI assigned

Jun 26, 2007

Organization subpart

No

Name

Dr. Jaime F. Roman, M.D.

Title

President

Phone

(718) 205-5355

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376749283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 91ST ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727927",
            "telephone_number": "718-205-5355",
            "fax_number": "718-429-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 91ST ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727927",
            "telephone_number": "718-205-5355",
            "fax_number": "718-429-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-205-5355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "152166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana J Connelly, M.S. SP. ED, M.S.ED.
• Karla Cooper, PHARM.D.
• Karen Cordoba
• Leoniza Cordoba, B.A.
• Popi Coritsidis
• Corona Medical of New York LLC
• Claudia Lucia Corona
• Braulio Federico Cosme-Thormann, MD
• Cosmos Total Optometry Care PLLC
• Cosmos Total Optometry Care PLLC

• All providers in Jackson Heights, NY
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.