CORONA GYNECOLOGICAL MEDICAL SERVICES, PC
NPI 1053553388
Obstetrics & Gynecology - Gynecology in Corona, NY

Active since April 01, 2009
10408 ROOSEVELT AVE, 2ND FLOOR, CORONA, NY 11368(718) 779-2666(718) 779-6006 Get Directions Write a Review

NPPES record last updated: April 1, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Corona Gynecological Medical Services, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORONA GYNECOLOGICAL MEDICAL SERVICES, PC (NPI 1053553388) is a healthcare organization registered as a gynecology in Corona, New York and active in the NPI registry since April 2009. The organization lists Joel Cooper, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1053553388
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameCORONA GYNECOLOGICAL MEDICAL SERVICES, PC
Location Address10408 ROOSEVELT AVE, 2ND FLOORCorona, NY 11368-2328
Mailing Address10408 Roosevelt Ave, 2nd FloorCorona, NY 11368-2328 · (718) 779-2666 · Fax (718) 779-6006
Fax(718) 779-6006
Organization SubpartNo
Authorized OfficialJoel CooperMedical Director · (718) 779-2666
Enumeration DateApril 1, 2009
NPI 1053553388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in NY · 092267
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
10408 ROOSEVELT AVE, Corona, NY 11368

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
10408 ROOSEVELT AVE
CORONA, NY 11368
Chiropractor
10408 ROOSEVELT AVE
CORONA, NY 11368
Physical Therapist
10408 ROOSEVELT AVE
CORONA, NY 11368
Clinic/Center (Physical Therapy)
10408 ROOSEVELT AVE
CORONA, NY 11368
Obstetrics & Gynecology (Gynecology)
10408 ROOSEVELT AVE
CORONA, NY 11368

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corona Gynecological Medical Services, PC's NPI number?

The NPI number for Corona Gynecological Medical Services, PC is 1053553388. It was assigned to this organization in the NPPES registry on April 1, 2009.

Where is Corona Gynecological Medical Services, PC located?

Corona Gynecological Medical Services, PC is located at 10408 Roosevelt Ave 2nd Floor, Corona, NY 11368. The listed phone number is (718) 779-2666.

What is Corona Gynecological Medical Services, PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Corona Gynecological Medical Services, PC was last updated on April 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.