Paul a. Corley, M.D., P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

174562 Issued in NY

Legal business name

PAUL A. CORLEY, M.D., P.C.

Practice address

1 Cross Island PLZ
Suite 220a
Rosedale, NY 11422-1484

Phone

(718) 541-1449

Fax

(718) 712-3343

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul Corley, M.D.NPI 1821078460

Title

President

Phone

(718) 541-1449

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Anthony Corley, MD

  • Psychiatry Physician
  • Rosedale, NY
  • NPI 1821078460
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1366617763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11064 QUEENS BLVD",
            "address_2": "#129",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756347",
            "telephone_number": "718-541-1449",
            "fax_number": "718-712-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CROSS ISLAND PLZ",
            "address_2": "SUITE 220A",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221484",
            "telephone_number": "718-541-1449",
            "fax_number": "718-712-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL A. CORLEY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "CORLEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-541-1449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "174562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "000196040101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2491206",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "522BA1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "363784",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "7353654",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01757693",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS WELLCARE",
            "identifier": "330553",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Pantry
• Abegail Parker, LPN
• Roxanne Parkes
• Tiffany Pascal
• Delores Sharon Passmore, LMSW
• Nirva Paul
• Shani Paul
• PC Aide Plus, Inc.
• Ashley(917) 325-8809 Peart
• Vivian O. Penceal, TSHH, MSED

• Psychiatry Physician in Rosedale, NY
• Providers in Rosedale, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.