Mary Ellen King (NPI# 1124050497, PAC ID# 4183601743) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1124050497 |
| PAC ID by PECOS | 4183601743 |
| Professional Enrollment ID | I20040701000613 |
| Full Name | Mary Ellen King |
| Organization Legal Name | BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C. |
| Address |
161 E Main St Suite 300 301 Port Jervis NY 12771-2113 |
| Phone Number | 8458563812 |
| Gender | F |
| Credential | MD |
| Medical School | NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1658262084 |
| Number of Group Practice Members | 164 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330135 | BON SECOURS COMMUNITY HOSPITAL |
| 330205 | ST ANTHONY COMMUNITY HOSPITAL |
| 330126 | ORANGE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 161 E Main St, Suite 300 301, Port Jervis, NY 12771-2113 | 8458563812 | BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C. |
| 75 Ronald Reagan Blvd, Warwick, NY 10990-4105 | 8457036999 | CRYSTAL RUN HEALTHCARE PHYSICIANS LLP |
| Organization Legal Name | BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C. |
| Physicians | 162 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arthi Senra | Family Medicine | Bon Secours Charity Health System Medical Group, P.C. | 27 Liberty Square Mall, Stony Point, NY 10980-2400 |
| Lisa Hirsch | Internal Medicine | Bon Secours Charity Health System Medical Group, P.C. | 26 Firemens Memorial Dr, Pomona, NY 10970-3553 |
| Alicia Olmoz | Nurse Practitioner | Bon Secours Charity Health System Medical Group, P.C. | 255 Lafayette Ave, Suffern, NY 10901-4812 |
| Sanju Varghese | Nurse Practitioner | Bon Secours Charity Health System Medical Group, P.C. | 10 Franklin Turnpike, Mahwah, NJ 07430 |
| Andrew Najovits | Cardiovascular Disease (cardiology) | Bon Secours Charity Health System Medical Group, P.C. | 257 Lafayette Ave, Suffern, NY 10901-4830 |
| Gopal Shah | Internal Medicine | Bon Secours Charity Health System Medical Group, P.C. | 20 Grand St, Fl 3, Warwick, NY 10990-1035 |
| Walter Ernst Kaufmann | Cardiovascular Disease (cardiology) | Bon Secours Charity Health System Medical Group, P.C. | 5 Skinner St, Port Jervis, NY 12771-2226 |
| Martin L Evers | Internal Medicine | Bon Secours Charity Health System Medical Group, P.C. | 104 Bennett Ave, Milford, PA 18337-9759 |
| Seth E Hurwitz | Cardiovascular Disease (cardiology) | Bon Secours Charity Health System Medical Group, P.C. | 30 Hatfield Ln, Suite 209, Goshen, NY 10924-6768 |
| Yang Shih | Cardiovascular Disease (cardiology) | Bon Secours Charity Health System Medical Group, P.C. | 79 Route 59, Suffern, NY 10901-4913 |
| Street Address |
161 E MAIN ST SUITE 300 301 |
| City | PORT JERVIS |
| State | NY |
| Zip | 12771-2113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jalil Anwar | Pulmonary Disease | Rajeswara Rao Patcha Md PC | 161 E Main St, Huntington, NY 11743-2967 |
| Heather Jaeger | Nurse Practitioner | Bon Secours Charity Health System Medical Group, P.C. | 161 E Main St, Suite 300 301, Port Jervis, NY 12771-2113 |
| Hratch K Kazanjian | Cardiovascular Disease (cardiology) | Bon Secours Charity Health System Medical Group, P.C. | 161 E Main St, Suite 300 301, Port Jervis, NY 12771-2113 |
| Rachel Goellner Thompson | Physical Therapy | Denville Medical Health Center and Sports Rehab P.C. | 161 E Main St, Suite 200, Denville, NJ 07834-2647 |
| Kelly Pizzimenti | Nurse Practitioner | Bon Secours Charity Health System Medical Group, P.C. | 161 E Main St, Suite 300 301, Port Jervis, NY 12771-2113 |
| Surekha Khedekar | Diagnostic Radiology | Denville Diagnostics Imaging and Open Mri LLC | 161 E Main St, Denville, NJ 07834-2647 |
| Mehjabeen Alam | General Practice | Bon Secours Charity Health System Medical Group, P.C. | 161 E Main St, Suite 300 301, Port Jervis, NY 12771-2113 |
| David Barrett Iii | Chiropractic | Denville Medical Health Center and Sports Rehab P.C. | 161 E Main St, Suite 200, Denville, NJ 07834-2647 |
| Michael Triolo | Diagnostic Radiology | Denville Diagnostics Imaging and Open Mri LLC | 161 E Main St, Denville, NJ 07834-2647 |
| William S Kelhoffer | Internal Medicine | Denville Medical Health Center and Sports Rehab P.C. | 161 E Main St, Suite 200, Denville, NJ 07834-2647 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Lehrer | Optometry | 30 Canal St, Port Jervis, NY 12771-1638 | |
| Thomas A Piserchia | Orthopedic Surgery | 22 Canal St, Port Jervis, NY 12771-1638 | |
| Taniesha B Lewis | Clinical Social Worker | County of Orange | 146 Pike St, Port Jervis, NY 12771-1808 |
| Jeffrey A Parker | Podiatry | 156 Pike St, Port Jervis, NY 12771-1808 | |
| Martha M Thomson | Nurse Practitioner | County of Orange | 146 Pike St, Port Jervis, NY 12771-1808 |
| Saeed I Bhatti | Psychiatry | County of Orange | 146 Pike St, Port Jervis, NY 12771-1808 |
| Anne M Glenn Fellenzer | Clinical Social Worker | County of Orange | 146 Pike St, Port Jervis, NY 12771-1808 |
| Jennifer L Rowe | Clinical Social Worker | County of Orange | 146 Pike St, Port Jervis, NY 12771-1808 |
| Charlotte Murphy | Psychiatry | County of Orange | 146 Pike St, Port Jervis, NY 12771-1808 |
| Phil W Bennett | Clinical Social Worker | County of Orange | 146 Pike St, Port Jervis, NY 12771-1808 |
| Find all physicians in zip 12771 | |||
| City | PORT JERVIS |
| Zip Code | 12771 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PORT JERVIS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mary Ellen King.
| 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.