MARLENE CORUJO (NPI# 1063465987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063465987 |
| Entity Type | Individual |
| Full Name | MARLENE CORUJO |
| Credential | MD |
| Practice Address |
18005 Hillside Ave Jamaica NY 11432-4727 |
| Mailing Address |
1000 Zeckendorf Blvd Garden City NY 11530-2133 |
| Practice Telephone | 7182626300 |
| Practice Fax Number | 7182627045 |
| Mailing Telephone | 5165426880 |
| Mailing Fax Number | 5165425556 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 209412 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01828202 | 05 |
| Street Address |
18005 HILLSIDE AVE |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-4727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396737755 | Dean Cole Chasky | Specialist | 18005 Hillside Ave, Jamaica, NY 11432-4727 | 2005-08-21 |
| 1982150157 | Karuna Balkaran | Nurse Practitioner | 18005 Hillside Ave, Jamaica, NY 11432 | 2016-08-28 |
| 1538517362 | Sherry Sumira | Physical Therapist | 18005 Hillside Ave, Jamaica, NY 11432-4727 | 2016-06-02 |
| 1447658299 | Fatima Chaudhary | Pharmacist | 18005 Hillside Ave, Jamaica, NY 11432-4727 | 2014-12-10 |
| 1356771547 | Bse Hearing, Inc. | Audiologist-Hearing Aid Fitter | 18005 Hillside Ave, Jamaica, NY 11432-4727 | 2013-11-25 |
| 1255694717 | Suneel Movva | Internal Medicine | 18005 Hillside Ave, Jamaica, NY 11432-4727 | 2012-06-20 |
| 1760757538 | Lili Lin | Nurse Practitioner | 18005 Hillside Ave, Jamaica, NY 11432-4727 | 2012-03-13 |
| 1598048019 | Vanessa Baumback | Social Worker | 18005 Hillside Ave, Jamaica, NY 11432-4727 | 2011-09-21 |
| 1104121565 | Dolores A Borres | Physical Therapist | 18005 Hillside Ave, Jamaica, NY 11432-4727 | 2011-01-17 |
| 1881925998 | Mohamad Javed Yousuf | Pharmacist | 18005 Hillside Ave, Jamaica, NY 11432-4727 | 2010-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902464720 | Manzoor Ul Mahbub | Urology | 8268 164th St Rm P129, Jamaica, NY 11432-1121 | 2019-06-05 |
| 1356468425 | Diana K Hurewitz | Urology | 82-68 164th Street, Queens Hospital, Urology, Jamaica, NY 11432 | 2007-03-23 |
| 1205926532 | Sung Won Kim | Urology | 8268 164th St, Jamaica, NY 11432-1121 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787955 | Alexandra Gavalo-yacco | Urology | 100 S Bedford Rd, Mount Kisco, NY 10549-3425 | 2020-07-22 |
| 1710503230 | Alan Hugh Bennett | Urology | 592 State Route 28, Raquette Lake, NY 13436-1907 | 2020-06-20 |
| 1518587294 | Nitin Sharma | Urology | 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 | 2020-04-22 |
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1659917243 | Hanan Goldberg | Urology | 1676 Sunset Ave Fl 2, Utica, NY 13502-5416 | 2019-11-19 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
| 1245796846 | Miroslav L Djordjevic | Urology | 1425 Madison Ave Fl 6, New York, NY 10029-6514 | 2019-02-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.