Organization Active NPI

Corium Inc

  • Physician Assistant
  • Hialeah, FL
National Provider Identifier
1477813541
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
CORIUM INC
Practice address
4410 W 16TH Ave
Suite 62
Hialeah, FL 33012-7100
Phone
(786) 237-7727
NPI assigned
May 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Shlomo Sprung
Title
Coo
Phone
(786) 237-7727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

4410 W 16TH Ave
Suite 62
Hialeah, FL 33012-7100

Mailing address

4410 W 16TH Ave
Suite 62
Hialeah, FL 33012-7100

Other names 1

  • corium group inc Doing business as

National Provider Directory

National Provider Directory

Locations

4410 W 16th Ave
Ste 62
Hialeah, FL 33012
Phone (786) 237-7727

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1477813541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 W 16TH AVE",
            "address_2": "SUITE 62",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W 16TH AVE",
            "address_2": "SUITE 62",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127100",
            "telephone_number": "786-237-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORIUM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "SPRUNG",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "786-237-7727"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "corium group inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.