Corehealth Medical Care PLLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

COREHEALTH MEDICAL CARE PLLC

Practice address

247-39 Jamaica Ave
2ND Floor
Queens, NY 11426-1541

Phone

(718) 343-2045

Fax

(718) 343-2088

NPI assigned

Oct 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. Steve Chikezie Ideyi, MDNPI 1821188236

Title

Owner

Phone

(718) 343-2045

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Steve Chikezie Ideyi, M.D.

  • Vascular & Interventional Radiology Physician
  • Brooklyn, NY
  • NPI 1821188236
  Medicare reassignment Authorized official
• Philomene Goueliani

  • Nurse Practitioner
  • Brooklyn, NY
  • NPI 1891102885
  Medicare reassignment NPD
• Monica Amona Martin, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1417904962
  Medicare reassignment

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1609151950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24739 JAMAICA",
            "address_2": "2ND FLOOR",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261541",
            "telephone_number": "718-343-2045",
            "fax_number": "718-343-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247-39 JAMAICA AVE",
            "address_2": "2ND FLOOR",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "114261541",
            "telephone_number": "718-343-2045",
            "fax_number": "718-343-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREHEALTH MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "IDEYI",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "CHIKEZIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-343-2045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Szeya Cheung, MD
• Richard Chiou
• Thanzina Chowdhury
• Mary Choy, PHARMD
• City Medical of Upper East Side, PLLC
• Jessica L Cozza, M.A.
• Ashley Taylor Curaba, PA-C
• Venita Alexandra Damon, LPN
• Olayinka Eniola Dare, SPECIAL INSTRUCTION
• Rachelle Beatrice De la Fuente, MD

• Vascular & Interventional Radiology Physician in Queens, NY
• Providers in Queens, NY by specialty
• Vascular & Interventional Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.