Individual provider Active NPI

Daniel Jose Correa, M.D.

  • Neurology Physician
  • New York, NY
National Provider Identifier
1366604068
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
290703 Issued in NY
Practice address
111 E 210 Street
Montefiore Medical Center, Epilepsy Center
New York, NY 10467-1046
Phone
(718) 430-2447
Fax
(718) 430-8899
NPI assigned
Jun 25, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 290703 NY Primary
Neurology Physician 2084N0400X 0101247854 VA

Addresses

Primary practice location

111 E 210 Street
Montefiore Medical Center, Epilepsy Center
New York, NY 10467-1046

Mailing address

111 E 210 Street
Montefiore Medical Center, Epilepsy Center
Bronx, NY 10467-5650
Phone (718) 430-2447

Other practice location 1

1410 Pelham Pwy South - Kennedy 316
Dept. of Neurology
Bronx, NY 10461
Phone (718) 430-2447

Other practice location 2

1410 Pelham Pwy South
Jacobi Medical Center, Dept. of Neurology
Bronx, NY 10461
Phone (718) 430-2447

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171219000343 NY Practitioner - Neurology 7810174471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Howard University College of Medicine, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
290703NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Montefiore Medical Center Neurology CurrentSince Nov 10, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Nov 10, 2017 Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

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

Interoperability endpoints

  • Direct secure messaging: dcorrea@montefioredirect.com
  • Direct secure messaging: dcorrea844704@nychhc.direct-ci.com

Organizations & group practices 4

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 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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366604068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 210 STREET",
            "address_2": "MONTEFIORE MEDICAL CENTER, EPILEPSY CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104675650",
            "telephone_number": "718-430-2447",
            "fax_number": "718-430-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 210 STREET",
            "address_2": "MONTEFIORE MEDICAL CENTER, EPILEPSY CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "104671046",
            "telephone_number": "718-430-2447",
            "fax_number": "718-430-8899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 Pelham Pwy South - Kennedy 316",
            "address_2": "Dept. of Neurology",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10461",
            "country_code": "US",
            "telephone_number": "718-430-2447",
            "fax_number": "718-430-8899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1410 Pelham Pwy South",
            "address_2": "Jacobi Medical Center, Dept. of Neurology",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10461",
            "country_code": "US",
            "telephone_number": "718-430-2447",
            "fax_number": "718-430-8899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORREA",
        "first_name": "DANIEL",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "290703",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101247854",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.