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CORONA MEDICAL PC
NPI 1699026385
Internal Medicine in Elmhurst, NY

Active since September 21, 2012CLIA 33D2176839 · Waiver
40-11 WARREN ST, 2ND FLOOR, ELMHURST, NY 11373(718) 426-8100(718) 396-0407 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Corona Medical Pc NPPES

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

CORONA MEDICAL PC (NPI 1699026385) is a healthcare organization registered as an internal medicine in Elmhurst, New York and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through February 28, 2028 and lists Afshin Tavakoly, Officer/physician, as its authorized official.

NPPES Registry Identity

NPI1699026385
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCORONA MEDICAL PC
Location Address40-11 WARREN ST, 2ND FLOORElmhurst, NY 11373-1700
Mailing AddressPo Box 650067Fresh Meadows, NY 11365-0067 · (917) 605-7233 · Fax (718) 998-4252
Phone(718) 426-8100
Fax(718) 396-0407
Organization SubpartNo
Authorized OfficialAfshin TavakolyOfficer/physician · (917) 605-7233
Enumeration DateSeptember 21, 2012
Last NPPES UpdateOctober 30, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1699026385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
40-11 WARREN ST, Elmhurst, NY 11373
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2176839

Corona Medical PC · Elmhurst, NY
Active · expires Feb 28, 2028
CLIA Number33D2176839
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorDr. Afshin Tavakoly
Laboratory Phone(718) 426-8100
Laboratory LocationCorona Medical PC40-11 Warren St 2nd Fl, Elmhurst, NY 11373
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Medical PC's NPI number?

The NPI number for Corona Medical PC is 1699026385. It was assigned to this organization in the NPPES registry on September 21, 2012.

Where is Corona Medical PC located?

Corona Medical PC is located at 40-11 Warren St 2nd Floor, Elmhurst, NY 11373. The listed phone number is (718) 426-8100.

What is Corona Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Corona Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2176839) is associated with this NPI, valid through February 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Corona Medical PC was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.