Michael Daeyang Connery, MD, PHD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

304914 Issued in NY

Practice address

60 Dutch Hill Rd
Orangeburg, NY 10962-1723

Phone

(845) 777-3555

Fax

(845) 848-2772

NPI assigned

Apr 1, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

NephrologyAlso: Internal Medicine

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bon Secours Charity Health System Medical Group, P.C.Group PAC ID 1658262084, 157 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fresenius Kidney Care Montebello Dialysis facility, Montebello, NY, CCN 332691
• Friedwald Center for Dialysis Dialysis facility, New City, NY, CCN 332696
• Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158
• Nyack Hospital Hospital, Nyack, NY, CCN 330104
• Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264

Merit-based Incentive Payment System (MIPS)

Final score

96.73 of 100Reported as apm

Quality

87.82

Promoting interoperability

92

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

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

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.

• Bon Secours Charity Health System Medical Group, P.C.

  • Internal Medicine Physician
  • Warwick, NY
  • NPI 1487694345
  Medicare reassignment Care Compare group NPD

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

• Freedom Center of Rockland County, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Montebello, NY
  • NPI 1528665106

  Dialysis facility

  Care Compare affiliation Name & address match
• Friedwald Center for Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • New City, NY
  • NPI 1306110655

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Care of Rockland, Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Montebello, NY
  • NPI 1265798292

  Dialysis facility

  Care Compare affiliation Name & address match
• Good Samaritan Hospital of Suffern

  • General Acute Care Hospital
  • Suffern, NY
  • NPI 1346213469
  Care Compare affiliation
• Montefiore Nyack Hospital

  • General Acute Care Hospital
  • Nyack, NY
  • NPI 1104808062
  Care Compare affiliation
• St. Luke'S Cornwall Hospital

  • General Acute Care Hospital
  • Newburgh, NY
  • NPI 1003923434
  Care Compare affiliation

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1306231899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GRAND ST FL 3",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901035",
            "telephone_number": "845-987-3906",
            "fax_number": "845-987-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 DUTCH HILL RD",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621723",
            "telephone_number": "845-777-3555",
            "fax_number": "845-848-2772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Crosfield Ave Ste 318",
            "address_purpose": "LOCATION",
            "city": "West Nyack",
            "state": "NY",
            "postal_code": "109942220",
            "country_code": "US",
            "telephone_number": "845-777-3555",
            "fax_number": "848-848-2772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "257 Lafayette Ave Ste 340",
            "address_purpose": "LOCATION",
            "city": "Suffern",
            "state": "NY",
            "postal_code": "109014831",
            "country_code": "US",
            "telephone_number": "845-777-3555",
            "fax_number": "845-848-2772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNERY",
        "first_name": "MICHAEL",
        "middle_name": "DAEYANG",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-01",
        "last_updated": "2021-02-11",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "304914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bella C Clutario, MD
• Cynthia Ceresney Cohen, MD
• Edwin Cohen, R. PH.
• Ellen Cola
• Robert Michael Conenello, D.P.M.
• Megan A Corbett
• Melissa Corcoran, RN, BSN
• Mary F. Costigan, D.M.D.
• Charmaine Cox, FNP-BC
• Krista Coyle, LCSW

• Nephrology Physician in Orangeburg, NY
• Providers in Orangeburg, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.