Active NPI
Corinthian Medical PC
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1396332953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CORINTHIAN MEDICAL PC
- Practice address
- 620 W 190TH St # B
New York, NY 10040-4157 - Phone
- (212) 781-4144
- Fax
- (212) 781-1872
- NPI assigned
- Dec 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carolina De Los Angeles
- Title
- Administrator
- Phone
- (347) 812-3968
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
620 W 190TH St # B
New York, NY 10040-4157
Mailing address
620 W 190TH St # B
New York, NY 10040-4157
Phone (212) 781-4144
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ECW | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
330 Wadsworth Ave
Apt 1A
New York, NY 10040
Phone (212) 781-4144
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Bronx, NY
- NPI 1912149915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695168000000",
"number": "1396332953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 W 190TH ST # B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100404157",
"telephone_number": "212-781-4144",
"fax_number": "212-781-1872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 W 190TH ST # B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100404157",
"telephone_number": "212-781-4144",
"fax_number": "212-781-1872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORINTHIAN MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-29",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A",
"authorized_official_last_name": "DE LOS ANGELES",
"authorized_official_first_name": "CAROLINA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "347-812-3968"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ECW",
"affiliation": "N",
"endpointDescription": "EMR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EMR",
"address_1": "620 W 190th St # B",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100404157",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.