Amy R Koreen, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

184905 Issued in NY

Practice address

28 Elm St
Huntington, NY 11743-3402

Phone

(631) 423-8368

NPI assigned

Jul 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Icahn School of Medicine at Mount Sinai, 1988

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amy Koreen MD PC

  • Specialist
  • Huntington, NY
  • NPI 1922269976
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043234594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ELM ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433402",
            "telephone_number": "631-423-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 ELM ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433402",
            "telephone_number": "631-423-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOREEN",
        "first_name": "AMY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "184905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENSE",
            "identifier": "184905",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William F Knaupp, MD
• Andrew Tsong-Yuan Ko, MD
• Dodis Kohan, MD
• Cristy Kokell-Grassi, PA
• Jeffrey Alan Kopman, DDS
• Jason Koreen
• Roger Koreen, MD
• Ralph Kornblatt, OD
• Amy Helen Korobow
• Charles Reuben Korrol, DO

• Specialist in Huntington, NY
• Providers in Huntington, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.