Cornelia Ileana Muntean, M.D.
Individual provider Active NPI Pediatric Emergency Medicine (Emergency Medicine) Physician · Brooklyn, NY
NPI 1124464722 · NPPES record last updated Jun 18, 2019
Key facts
- NPI
- 1124464722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X
- License
- 285198 (NY)
- Practice address
- 506 6TH St
Brooklyn, NY 11215-3609 - Phone
- (718) 780-5040
- Fax
- (718) 780-3153
- NPI assigned
- May 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Samaritan Emergency Medical Services PC
Practice addresses (Care Compare)
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-4094
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190702000217 | NY | Practitioner - Emergency Medicine |
5294069845 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 285198 | NY | MD | Pediatric Emergency Medicine (Emergency Medicine) Physician |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Emergency Medical Services, PC | Current |
Accepting new patients | |
| Good Samaritan Hospital Medical | Current |
Accepting new patients | |
| Kings Physician Services, PC | Current |
Accepting new patients | |
| Kings Physician Services, PC | Current | Accepting new patients | |
| Good Samaritan Hospital Medical Center | Current | Accepting new patients |
Locations
506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279
506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 285198 | NY | Yes |
Addresses
Primary practice location
506 6TH St
Brooklyn, NY 11215-3609
Mailing address
506 6TH St
Brooklyn, NY 11215-3609
Phone (718) 780-5040
Other providers in Brooklyn, NY
- Callima Munro
- Carly Munro
- Sonia Munro
- Ketanya Monique Munroe Henriques
- Althea Munroe
- John Munyak
- Shepard Munyari
- Reshma Muppala
- Vishnu Raju Muppala
- Jessica Mura
All providers in Brooklyn, NY · Pediatric Emergency Medicine (Emergency Medicine) Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.