Organization Active NPI

Maria C. Coe, MSRD,CDN,PC

  • Health Service Clinic/Center
  • Corona, NY
National Provider Identifier
1417361122
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
003935 Issued in NY
Legal business name
MARIA C. COE, MSRD,CDN,PC
Practice address
10211 Roosevelt Ave
Corona, NY 11368-2331
Phone
(718) 898-1386
Fax
(718) 898-1903
NPI assigned
Jun 20, 2014
Last updated
Jun 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Authorized official

Name
Ms. Maria Corazon Coe, R.D.
Title
President
Phone
(718) 545-1632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 003935 NY Primary

Addresses

Primary practice location

10211 Roosevelt Ave
Corona, NY 11368-2331

Mailing address

3135 31St St
Unit 303
Long Island City, NY 11106-2591
Phone (718) 545-1632

National Provider Directory

National Provider Directory

Locations

10211 Roosevelt Ave
Fl 4
Corona, NY 11368
Phone (718) 898-1368

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1417361122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 31ST ST",
            "address_2": "UNIT 303",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111062591",
            "telephone_number": "718-545-1632",
            "fax_number": "718-898-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10211 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682331",
            "telephone_number": "718-898-1386",
            "fax_number": "718-898-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA C. COE, MSRD,CDN,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "COE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CORAZON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-545-1632",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "003935",
            "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 Jun 20, 2014; 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.