Woodside Medical Services PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WOODSIDE MEDICAL SERVICES PC

Practice address

31-20 54TH Street
Suite L2
Woodside, NY 11377-1530

Phone

(718) 476-5859

NPI assigned

Aug 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Serban I Cocioba, M.D.

Title

President

Phone

(718) 476-5859

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1497035638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 54TH ST",
            "address_2": "SUITE L2",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771530",
            "telephone_number": "718-476-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31-20 54TH STREET",
            "address_2": "SUITE L2",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771530",
            "telephone_number": "718-476-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSIDE MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "COCIOBA",
        "authorized_official_first_name": "SERBAN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-476-5859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A30026029",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Woodside Family Dental PLLC
• Woodside Medical Care
• Woodside Medical Care P.C
• Woodside Medical Diagnostic, PC.
• Woodside Medical Practice, P.C.
• Woodside Physical Therapy Rehabilitation PLLC
• Woodside Vision Inc
• Kateri Wright
• Christopher William Wrobleski, LMSW
• Raymond Wu, PHARM. D

• Clinical Medical Laboratory in Woodside, NY
• Providers in Woodside, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.