Individual provider Active NPI

Conellia Ha, MD

  • Diagnostic Radiology Physician
  • Rockville Centre, NY
National Provider Identifier
1245238278
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
199665 Issued in NY
Practice address
1000 N Village Ave
Rockville Centre, NY 11570-1000
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 199665 NY Primary

Addresses

Primary practice location

1000 N Village Ave
Rockville Centre, NY 11570-1000

Mailing address

52 Main St
Bedford Hills, NY 10507-1814
Phone (914) 666-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040519000206 NY Practitioner - Diagnostic Radiology 8729079843 Reassigns benefits to 7 organizations
I20260528001135 FL Practitioner - Diagnostic Radiology 8729079843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York Downstate Medical Center, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York University 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

1300 Ave P
Brooklyn, NY 11229-1106
Phone (718) 376-1004

13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923

159 E 53Rd St
New York, NY 10022-4602
Phone (646) 754-3300

160 E 34TH St
New York, NY 10016-4744
Phone (212) 263-7300

180 E Pulaski Rd
Huntington Station, NY 11746-1915
Phone (516) 747-8900

6915 Austin St
Forest Hills, NY 11375-4255
Phone (718) 544-5100

Hospital & facility affiliations

  • Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199665NYMDDiagnostic Radiology Physician

Practice roles (15 of 19)

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Jan 1, 2021 Accepting new patients
Interfaith Professional Physician Services, P.C. Diagnostic Radiology CurrentSince Jun 21, 2013 Accepting new patients
St. Francis Cardiac Prevention Services PC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
New York University CurrentSince Nov 1, 2023 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Oct 15, 2023 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
New York University CurrentSince Nov 1, 2023 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince May 9, 2020 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Oct 15, 2023 Accepting new patients
Brookhaven Memorial Hospital Medical Center Diagnostic Radiology Past Accepting new patients
South Nassau Radiology PC Diagnostic Radiology Past Accepting new patients
Sovereign Medical Group LLC Diagnostic Radiology Past Accepting new patients
Narrows MRI and Diagnostic Radiology, PC Diagnostic Radiology Past Accepting new patients

Locations (25 of 26)

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

9920 4th Ave
Ste 105
Brooklyn, NY 11209
Phone (718) 238-4858

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

327 Beach 19th St
#H
Far Rockaway, NY 11691
Phone (718) 869-7000

6915 Austin St
Forest Hills, NY 11375
Phone (718) 263-3500

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

224 7th St
Fl 3
Garden City, NY 11530
Phone (516) 747-0161

975 Stewart Ave
Garden City, NY 11530
Phone (516) 222-8600

2200 Northern Blvd
Ste 118
Greenvale, NY 11548
Phone (516) 563-7910

2200 Northern Blvd
Ste 100C
Greenvale, NY 11548
Phone (516) 325-7400

712 Main St
Islip, NY 11751
Phone (631) 666-3939

510 Hicksville Rd
Massapequa, NY 11758
Phone (516) 729-2626

380 2nd Ave
New York, NY 10010
Phone (212) 253-6600

50 Water St
Fl 3
New York, NY 10004

227 Madison St
New York, NY 10002
Phone (212) 238-7000

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

77 Route 112
Patchogue, NY 11772
Phone (631) 207-2370

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

1000 N Village Ave
#13202
Rockville Ctr, NY 11570

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

2500 Nesconset Hwy
Bldg 7D
Stony Brook, NY 11790
Phone (631) 751-3322

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: cha601362@nyumc.direct-ci.com

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 2

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1245238278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MAIN ST",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105071814",
            "telephone_number": "914-666-2220",
            "fax_number": "914-666-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N VILLAGE AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701000",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "CONELLIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "199665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.