MARIA QUEZADA (NPI# 1770799215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770799215 |
| Entity Type | Individual |
| Full Name | MARIA QUEZADA |
| Credential | MD |
| Practice Address |
102 11 Roosevelt Ave. Corona NY 11368-2331 |
| Practice Telephone | 7188985200 |
| Practice Fax Number | 7188983673 |
| Mailing Telephone | 7188985200 |
| Mailing Fax Number | 7188983673 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2018-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 296263 | NY | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | 004957-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01814617 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747353 | Maria Abril Quezada | Behavior Technician | 3002 Dow Ave Ste 122, Tustin, CA 92780-7247 | 2020-07-15 |
| 1912458035 | Maria Quezada | Counselor | 9445 Farnham St Ste 100, San Diego, CA 92123-1308 | 2016-10-24 |
| 1508229899 | Maria Quezada | Student in an Organized Health Care Education/Training Program | 155 N Fresno St, Ste 251, Fresno, CA 93701-2302 | 2016-04-03 |
| Street Address |
102 11 ROOSEVELT AVE. |
| City | CORONA |
| State | NY |
| Zip Code | 11368-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013124627 | Jose Dario Ovalle | Physician Assistant | 102 11 Roosevelt Ave., Corona, NY 11368-2331 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760014039 | Marukh Naeem | Behavioral Analyst | 11119a Roosevelt Ave, Apt 2r, Apt 2r, Corona, NY 11368 | 2020-02-05 |
| 1164072989 | Tonyia Michelle Madison | Counselor | 34-10 108 Street, Corona, Queens, NY 11368 | 2019-09-13 |
| 1962987347 | Sinead Anel Ulloa | Speech-Language Pathologist | 10420 37th Rd, Corona, NY 11368 | 2018-10-01 |
| 1245725779 | Bracha Namdar | Optometrist | 103-06 Roosevelt Ave, Corona, NY 11368 | 2018-06-27 |
| 1548758220 | Karina Elizabeth Carrasco | Specialist | 96- 32 46th Ave, Corona, NY 11368 | 2018-04-27 |
| 1134634033 | Nicole Iuculano | Speech-Language Pathologist | 43-18 97th Place, Corona, NY 11368 | 2017-12-13 |
| 1558880831 | Abenaa Nyame Danquah | Registered Nurse | 55-25 98th Place, Apt 1k, Corona, NY 11368 | 2017-09-18 |
| 1063940443 | Brand Rx Pharmacy Corp | Pharmacy | 97-05 A 57th Avenue, Corona, NY 11368 | 2017-05-30 |
| 1427595909 | Richelle Krish Sumaoy Colmenares | Physical Therapist | 3744 104th St., Corona, New York City, NY 11368 | 2017-01-23 |
| 1235674342 | 39th Avenue Physical Therapy PC | Clinic/Center | 103-18c 39 Ave, Corona, NY 11368 | 2016-12-28 |
| Find all providers in zip 11368 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770863953 | Hispaniola Pediatrics PC | Pediatrics | 4048 Junction Blvd, First Floor, Corona, NY 11368-2206 | 2011-08-19 |
| 1396912887 | Ingrid Williams | Pediatrics | 3758 108th St, Corona, NY 11368-2023 | 2008-05-13 |
| 1427233667 | Abc Medical Group, Inc,, Apc | Pediatrics | 650 E Parkridge Ave, Suitte 114 & 115, Corona, CA 92879-1091 | 2008-01-07 |
| 1285850974 | Elena B Jackson | Pediatrics | 770 Magnolia Ave Suite 2a, Corona, CA 92879-3122 | 2007-04-18 |
| 1275657793 | Mario Saint Laurent | Pediatrics | 3765 104th St, Corona, NY 11368-1947 | 2007-03-19 |
| 1649337858 | Hector Bienvenido Florimon De La Rosa | Pediatrics | 102-11 Roosevelt Ave, Corona, NY 11368 | 2007-01-03 |
| 1821160821 | Tannaz Ghassemi Hild | Pediatrics | 3971 Ashwood Cir, Corona, CA 92881-8820 | 2006-11-14 |
| 1114011780 | Ganesh Karim Md | Pediatrics | 97-30 57th Ave., Suite 1k, Corona, NY 11368 | 2006-10-03 |
| 1417040361 | Yvonne Ramona D'sylva | Pediatrics | 770 Magnolia Ave Ste 2a, Corona, CA 92879-3122 | 2006-10-02 |
| 1740372804 | Nancy N Quazi | Pediatrics | 770 Magnolia, Corona, CA 92879 | 2006-09-28 |
| Find all providers in CORONA | ||||
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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.