Pediatrics of Richmomd County PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

104893 Issued in NY

Legal business name

PEDIATRICS OF RICHMOMD COUNTY PLLC

Practice address

491 Henderson Ave
Staten Island, NY 10310-1665

Phone

(718) 816-0640

Fax

(718) 816-6662

NPI assigned

Mar 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Marina A Corpus, MDNPI 1457469363

Title

President

Phone

(718) 816-0640

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marina A Corpus, MD

  • Pediatrics Physician
  • Staten Island, NY
  • NPI 1457469363
  NPD (past) Authorized official

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1528485398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 HENDERSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101665",
            "telephone_number": "718-816-0640",
            "fax_number": "718-816-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 HENDERSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101665",
            "telephone_number": "718-816-0640",
            "fax_number": "718-816-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS OF RICHMOMD COUNTY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "CORPUS",
        "authorized_official_first_name": "MARINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-816-0640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "104893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00182485",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Henry Pecoraro Jr., SLP
• Pectus Services of Ny LLC
• Pediatric Care of New York P.C.
• Pediatric Eyewear of Staten Island (Pediatric Eyewear)
• Pediatric Occupational Therapy Associates (Programs for Special Children)
• Isabella Marie Peduto
• Nicole Peduto, PA
• Jocelyn Peedikayil, NP
• Lauren Pegues, RN
• Norman Pegues, LPN

• Pediatrics Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.