Correctional Medical Associates of Newyork, P.C.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CORRECTIONAL MEDICAL ASSOCIATES OF NEWYORK, P.C.

Practice address

4904 19TH Ave
Astoria, NY 11105-1002

Phone

(347) 774-7015

Fax

(347) 774-8051

NPI assigned

May 1, 2013

Last updated

May 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jay Cowan, M.D.

Title

Medical Director

Phone

(347) 774-7015

Specialties & licenses 2

Addresses

Other names 1

• PHS Medical Services, P.C. Former legal business name

Tax ID family

Corizon2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Corizon

  • Community/Behavioral Health Agency
  • Astoria, NY
  • NPI 1770980252
  NPD tax ID

Locations

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1669817938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 19TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051002",
            "telephone_number": "347-774-7015",
            "fax_number": "347-774-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 19TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051002",
            "telephone_number": "347-774-7015",
            "fax_number": "347-774-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIONAL MEDICAL ASSOCIATES OF NEWYORK, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "347-774-7015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHS Medical Services, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kenneth Correa
• Lilian Maria Correa, MPH, RD, DIPACLM
• Michelle M Correa, SC
• Natalia Correa
• Correctional Dental Associates of New York
• Louise Guenevere Escobal Correos, PT
• Naomi Cortes Saenz
• Christine Corticchia, MS.ED
• Sarah Cosgrave
• Andreas Cosmatos, MD

• Multi-Specialty Clinic/Center in Astoria, NY
• Providers in Astoria, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.