Individual provider Active NPI

Norma Salazar Cortinas, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Staten Island, NY
National Provider Identifier
1639114770
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
00236292 Issued in NY
Practice address
18 Grymes Hill Rd
Staten Island, NY 10301-3819
Phone
(210) 269-3262
NPI assigned
Jun 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 00236292 NY Primary

Addresses

Primary practice location

18 Grymes Hill Rd
Staten Island, NY 10301-3819

Mailing address

18 Grymes Hill Rd
Staten Island, NY 10301-3819
Phone (210) 269-3262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170124002393 TX Order and Referring Only - Geriatric MedicinePractitioner - Geriatric Medicine 6204931629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00236292NYMDGeriatric Medicine (Family Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639114770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 GRYMES HILL RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013819",
            "telephone_number": "210-269-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 GRYMES HILL RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013819",
            "telephone_number": "210-269-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTINAS",
        "first_name": "NORMA",
        "middle_name": "SALAZAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "00236292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.