Corcoran Medical Rehabilitation PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

187485 Issued in NY

Legal business name

CORCORAN MEDICAL REHABILITATION PC

Practice address

900 Franklin Ave
Valley Stream, NY 11580-2145

Phone

(516) 256-6551

NPI assigned

May 31, 2007

Last updated

Nov 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Michael Corcoran, MDNPI 1144231861

Title

President

Phone

(516) 483-2161

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Corcoran, MD

  • Physical Medicine & Rehabilitation Physician
  • Valley Stream, NY
  • NPI 1144231861
  Medicare reassignment NPD Authorized official
• Alisa Kammerman, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Woodmere, NY
  • NPI 1659303865
  Medicare reassignment NPD
• Eric Scott Lippman, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Valley Stream, NY
  • NPI 1891722765
  Medicare reassignment NPD
• Sam Jin Yee, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Lawrence, NY
  • NPI 1093796484
  Medicare reassignment NPD

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1225239551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 KILBURN RD S",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 FRANKLIN AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802145",
            "telephone_number": "516-256-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORCORAN MEDICAL REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "CORCORAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-483-2161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "187485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01420199",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Constantinopoli, LMSW
• Constellation Home Based Therapy LLC
• Constractor
• Cope Psychological Counseling PLLC
• Trudy-Ann Sareta Copperfield
• Patrick Corcoran, MD
• Corewell Medex LLC
• Pamala Corley
• Robert Cornell
• Kristi Cory

• Physical Medicine & Rehabilitation Physician in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.