KRYSTAL C CAPPAS CORDERO MD
NPI 1588318414
Student in an Organized Health Care Education/Training Program in Flushing, NY

Q: What is Krystal Cappas Cordero's NPI number?

The NPI number for Krystal Cappas Cordero is 1588318414. It was assigned to this individual provider in the NPPES registry on February 9, 2022.

Q: What is Krystal Cappas Cordero's specialty?

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

Active since February 09, 2022PECOS Enrolled

4500 PARSONS BLVD, FLUSHING, NY 11355(718) 670-5000 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: May 14, 2023, Sep 23, 2022, Feb 9, 2022 (3 updates tracked since 2022).

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About Krystal C Cappas Cordero Md NPPES

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

KRYSTAL C CAPPAS CORDERO MD (NPI 1588318414) is an individual student in an organized health care education/training program in Flushing, New York, licensed in Puerto Rico (16000I) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Juan.

NPPES Registry Identity

NPI1588318414

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKRYSTAL C CAPPAS CORDEROCredential: MD

Location Address4500 PARSONS BLVDFlushing, NY 11355-2205

Mailing Address4500 Parsons BlvdFlushing, NY 11355-2205

Phone(718) 670-5000

Sole ProprietorNo

Enumeration DateFebruary 9, 2022

Last NPPES UpdateJune 30, 20233 updates tracked since enumeration

NPPES CertifiedJune 30, 2023

✔ NPI 1588318414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in PR · 16000I

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.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 23017 (PR)

4500 PARSONS BLVD, Flushing, NY 11355

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Secondary Practice Location 1

Location 1900 Calle CerraSan Juan, PR 00907-5104 · Phone (787) 523-3735

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystal C Cappas 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.

Other Providers at the Same Location NPPES 20

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

FAZLA RABBY MD

Student in an Organized Health Care Education/Training Program