NPIMap

Organization Active NPI

Gynecology on Junction, P.C.

  • Plastic and Reconstructive Surgery Physician
  • Corona, NY
National Provider Identifier
1699181354
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
GYNECOLOGY ON JUNCTION, P.C.
Practice address
4023A Junction Blvd
Second Floor
Corona, NY 11368-2123
Phone
(718) 626-2312
NPI assigned
Jul 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Dr. Rosendo Icochea, M.D.
Title
President
Phone
(718) 656-2312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

4023A Junction Blvd
Second Floor
Corona, NY 11368-2123

Mailing address

4023A Junction Blvd
Second Floor
Corona, NY 11368-2123
Phone (718) 626-2312

National Provider Directory

National Provider Directory

Locations

4023A Junction Blvd
Fl Second
Corona, NY 11368
Phone (718) 626-2312

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1699181354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023A JUNCTION BLVD",
            "address_2": "SECOND FLOOR",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682123",
            "telephone_number": "718-626-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023A JUNCTION BLVD",
            "address_2": "SECOND FLOOR",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682123",
            "telephone_number": "718-626-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGY ON JUNCTION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "ICOCHEA",
        "authorized_official_first_name": "ROSENDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-656-2312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.