Mark J Coronel (NPI# 1346416963, PAC ID# 0042387227) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1346416963 |
| PAC ID by PECOS | 0042387227 |
| Professional Enrollment ID | I20080930000620 |
| Full Name | Mark J Coronel |
| Organization Legal Name | MARK J CORONEL MD PC |
| Address |
34 Commerce Dr Riverhead NY 11901-3118 |
| Phone Number | 6315913000 |
| Gender | M |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 2005 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 5890958979 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330107 | PECONIC BAY MEDICAL CENTER |
| 330393 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 34 Commerce Dr, Riverhead, NY 11901-3118 | 6315913000 | MARK J CORONEL MD PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 29% |
| Organization Legal Name | MARK J CORONEL MD PC |
| Physicians | 1 |
| Street Address |
34 COMMERCE DR |
| City | RIVERHEAD |
| State | NY |
| Zip | 11901-3118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Afzal M Butt | Internal Medicine | Peconic Bay Primary Medical Care PC | 34 Commerce Dr, Riverhaed, NY 11901 |
| Alicia M Walker | Clinical Psychologist | United Summit Center Inc | 34 Commerce Dr, Suite 204 207, Westover, WV 26501-3896 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor Olujimi | Orthopedic Surgery | Peconic Bay Primary Medical Care PC | 64 Commerce Dr, Riverhaed, NY 11901 |
| Maryann Larosa | Clinical Social Worker | Opo 21 W 2nd St, Suite 16, Riverhead, NY 11901-1930 | |
| Lizbeth Jansen | Physical Therapy | North Fork Physical Therapy PC | 31 Main Rd, Suite 4, Riverhead, NY 11901-1953 |
| Tiffany C Hunter | Obstetrics/gynecology | North Shore-lij Medical PC | 31 Main Rd, Riverhead, NY 11901-1953 |
| Barbara Gredysa | Endocrinology | 31 Main Rd, Suite 2, Riverhead, NY 11901-1953 | |
| Zeinab Fath El Bab | Obstetrics/gynecology | North Shore-lij Medical PC | 31 Main Rd, Suite 7, Riverhead, NY 11901-1953 |
| David Kuck | Physical Therapy | North Fork Physical Therapy PC | 31 Main Rd, Suite 4, Riverhead, NY 11901-1953 |
| Scott Z Czujko | Physical Therapy | North Fork Physical Therapy PC | 31 Main Rd, Suite 4, Riverhead, NY 11901-1953 |
| Andrew H Nataloni | Obstetrics/gynecology | North Shore-lij Medical PC | 31 Main Rd, Riverhead, NY 11901-1953 |
| Jeffrey J. Nazar | Chiropractic | 189 Main Rd, Suite A, Riverhead, NY 11901-1957 | |
| Find all physicians in zip 11901 | |||
| City | RIVERHEAD |
| Zip Code | 11901 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | RIVERHEAD + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Mark J Coronel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.