Candida Cordice-Ford, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

213753 Issued in NY

Practice address

11120 Merrick Blvd
St Albans, NY 11433

Phone

(718) 206-9888

Fax

(718) 206-3033

NPI assigned

May 11, 2006

Last updated

Jan 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: ccordiceford3111@direct.medisys.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jamaica Hospital

  dba Jamaica Hospital Emergency Department - Radiology

  • Emergency Medical Services (Emergency Medicine) Physician
  • Jamaica, NY
  • NPI 1477505220
  Medicare reassignment NPD
• Jamaica Hospital

  • Skilled Nursing Facility
  • Jamaica, NY
  • NPI 1750516795
  NPD
• Jamaica Hospital Medical Center

  • Ambulatory Family Planning Facility
  • Richmond Hill, NY
  • NPI 1134376254
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1992755912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 MARCUS DR",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474230",
            "telephone_number": "631-391-7889",
            "fax_number": "631-454-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 MERRICK BLVD",
            "city": "ST ALBANS",
            "state": "NY",
            "postal_code": "11433",
            "telephone_number": "718-206-9888",
            "fax_number": "718-206-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDICE-FORD",
        "first_name": "CANDIDA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "213753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01991542",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Complete Home Care Services, Inc
• Complete Home Care Services,Inc
• Complete Homecare
• Sypho Constant
• Albert K Cooper, MD
• Alexandra Jordana Coronel
• Irene Cox, RN
• Nelline Ferrona Cox, OCCUPATIONAL THERAPI
• Nadine Odette Crossdale I
• Tamara Crudup, RN

• Pediatrics Physician in Saint Albans, NY
• Providers in Saint Albans, 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 Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.