Active NPI
Corazon M Foscolo, M.D.
- Anesthesiology Physician
- Long Beach, NY
National Provider Identifier
1477827657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 115058
- Practice address
- 401 Lincoln Blvd
Long Beach, NY 11561 - Phone
- (516) 633-2236
- Fax
- (718) 848-7273
- NPI assigned
- Mar 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 115058 | NY | Primary |
Addresses
Primary practice location
401 Lincoln Blvd
Long Beach, NY 11561
Mailing address
401 Lincoln Blvd
Long Beach, NY 11561
Phone (516) 633-2236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115058 | NY | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330992000000",
"number": "1477827657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 LINCOLN BLVD",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "11561",
"telephone_number": "516-633-2236",
"fax_number": "718-848-7273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 LINCOLN BLVD",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "11561",
"telephone_number": "516-633-2236",
"fax_number": "718-848-7273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSCOLO",
"first_name": "CORAZON",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-06",
"last_updated": "2012-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "115058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.