Korongeno Medical, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KORONGENO MEDICAL, P.C.

Practice address

202 Foster Ave
Suite D
Brooklyn, NY 11230-2119

Phone

(718) 851-4900

NPI assigned

Jul 22, 2008

Organization subpart

No

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

Authorized official

Name

Abdalla I Adam, M.D.

Title

President

Phone

(718) 207-4348

Specialties & licenses 1

Addresses

Tax ID family

Korongeno Medical PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Liberty Medicine & Rehab PC

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1417091604
  NPD tax ID
• Liberty Medicine&Rehab

  • Clinic/Center
  • South Richmond Hill, NY
  • NPI 1841334026
  NPD tax ID

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1487819199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1679 NOSTRAND AVE",
            "address_2": "3RD FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266405",
            "telephone_number": "718-207-4348",
            "fax_number": "718-257-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 FOSTER AVE",
            "address_2": "SUITE D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302119",
            "telephone_number": "718-851-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORONGENO MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "ADAM",
        "authorized_official_first_name": "ABDALLA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-207-4348",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikhail Yuryevich Korogluyev, M.D.,D.O.
• Tatiana Korol, DDS
• Angela Koroleva
• Hannah Miata Koroma-Bernard
• Camille Koroma, RN
• Victor Koros, PHARMD
• Vladislav Korostyshevskiy, LAC
• Nelly Korotun
• Violeta Korra, BCBA
• Michelle Lauren Korson

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.