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RYAN CORDERO MD
NPI 1417699166
Student in an Organized Health Care Education/Training Program in Queens Village, NY

Active since April 12, 2022PECOS Enrolled
79-25 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427, QUEENS VILLAGE, NY 11427(718) 264-5030 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ryan Cordero Md NPPES

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

RYAN CORDERO MD (NPI 1417699166) is an individual student in an organized health care education/training program in Queens Village, New York and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417699166
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN CORDEROCredential: MD
Location Address79-25 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427Queens Village, NY 11427
Mailing Address7925 Winchester BlvdQueens Village, NY 11427-2128 · (718) 264-5030
Phone(718) 264-5030
Sole ProprietorYes
Enumeration DateApril 12, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1417699166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
79-25 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427, Queens Village, NY 11427
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Cordero Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Ryan Cordero's NPI number?

The NPI number for Ryan Cordero is 1417699166. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Ryan Cordero located?

Ryan Cordero practices at 79-25 Winchester Blvd, Queens Village, Ny 11427, Queens Village, NY 11427. The listed phone number is (718) 264-5030.

What is Ryan Cordero's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ryan Cordero enrolled in Medicare?

Yes. Ryan Cordero is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Cordero was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.