Organization Active NPI

Evelyn Cordero MD PC

  • Specialist
  • Bronx, NY
National Provider Identifier
1992971501
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
146024 Issued in NY
Legal business name
EVELYN CORDERO MD PC
Practice address
941 Castle Hill Ave
Bronx, NY 10473-1344
Phone
(718) 792-3117
Fax
(718) 792-0979
NPI assigned
May 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Dr. Evelyn Cordero, MD
Title
Owner
Phone
(718) 792-3117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 146024 NY Primary

Addresses

Primary practice location

941 Castle Hill Ave
Bronx, NY 10473-1344

Mailing address

941 Castle Hill Ave
Bronx, NY 10473-1344
Phone (718) 792-3117

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0876739Evelyn Cordero MD941 Castle Hill Ave, Bronx, NY 10473Provider-performed microscopySep 23, 2027

National Provider Directory

National Provider Directory

Locations

941 Castle Hill Ave
Bronx, NY 10473
Phone (718) 792-3117

NPI Registry JSON

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

{
    "created_epoch": "1209772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1992971501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 CASTLE HILL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104731344",
            "telephone_number": "718-792-3117",
            "fax_number": "718-792-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 CASTLE HILL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104731344",
            "telephone_number": "718-792-3117",
            "fax_number": "718-792-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN CORDERO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-03",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-792-3117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "146024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.