NPIMap

Individual provider Active NPI

Luis A Correa, M.D.

  • Internal Medicine Physician
  • West New York, NJ
National Provider Identifier
1063771301
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09326200 Issued in NJ
Practice address
323 62ND St
West New York, NJ 07093-2323
Phone
(201) 392-3527
Fax
(201) 392-3534
NPI assigned
May 7, 2012
Last updated
May 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09326200 NJ Primary
Pediatrics Physician 208000000X 25MA09326200 NJ

Addresses

Primary practice location

323 62ND St
West New York, NJ 07093-2323

Mailing address

PO Box 23617
New York, NY 10087-0001
Phone (201) 392-3527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130911000021 NJ Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6305080482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians
Onemd LLCGroup PAC ID 0143603639, 2 clinicians

Practice addresses (Care Compare)

29 E 29TH St
Bayonne, NJ 07002-4654
Phone (201) 858-5000

55 Meadowlands Pkwy
FL 4
Secaucus, NJ 07094-2977
Phone (201) 392-3527

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Onemd LLC Internal Medicine CurrentSince Jun 8, 2022 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
New Jersey Medical and Health Associates,LLC Internal Medicine PastSince Jun 8, 2022 Accepting new patients
Jersey City Medical Center Past Accepting new patients
Njmhmc, LLC Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

55 Meadowlands Pkwy
Fl 2
Secaucus, NJ 07094
Phone (201) 392-3361

55 Meadowlands Pkwy
Fl 4
Secaucus, NJ 07094
Phone (201) 392-3527

323 62nd St
West New York, NJ 07093
Phone (201) 325-9393

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIJHCD
  • Direct secure messaging: luis.correa@onemd.eclinicaldirectplus.com

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1063771301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23617",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "201-392-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 62ND ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932323",
            "telephone_number": "201-392-3527",
            "fax_number": "201-392-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-07",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09326200",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09326200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

Verify at the official NPI Registry.