Coyle S Connolly, D.O. PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MB06289800 Issued in NJ

Practice address

2106 New Rd Ste D4
Linwood, NJ 08221-1050

Phone

(609) 926-8899

Fax

(609) 926-6474

NPI assigned

May 1, 2006

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 NJ, PA, DE3 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 3

Specialty

Dermatology

Education

Philadelphia College of Osteopathic Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connolly Dermatology Delaware LLC 6 clinicians

Coyle S Connolly DO PA 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113

Merit-based Incentive Payment System (MIPS)

Final score

93.23 of 100Reported as group

Quality

95.33

Promoting interoperability

86

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22131/brand/1/csg/1/fhir/r4

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.

• Connolly Dermatology Delaware LLC

  • Dermatology Physician
  • Lewes, DE
  • NPI 1932779881

  DE, Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Coyle S Connolly DO PA

  • Dermatology Physician
  • Linwood, NJ
  • NPI 1053367516

  NJ, PA

  Medicare reassignment Care Compare group Authorized official
• Connolly Dermatology Philadelphia LLC

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1659976082

  Dermatology

  NPD Authorized official
• Lawrence Paolini, DO, PC

  • Dermatology Physician
  • Cape May Court House, NJ
  • NPI 1962530493

  Dermatology

  NPD (past)
• Delaware Brain and Spine Center of Excellence, LLC

  • Neurological Surgery Physician
  • Dover, DE
  • NPI 1639789852
  NPD (past)

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

• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Manahawkin, NJ
  • NPI 1831601590

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1386601433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2099 NEW ALBANY RD",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773534",
            "telephone_number": "609-926-8899",
            "fax_number": "856-772-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 NEW RD STE D4",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211050",
            "telephone_number": "609-926-8899",
            "fax_number": "609-926-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "COYLE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O. PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MB06289800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Complete Care at Linwood LLC
• Complete Care at Linwood LLC
• Congregation Torath Chaim Raintree
• Connect the Dots Counseling Services, LLC
• Elizabeth J Connelly-Platanella, PTA
• Melissa Conover
• Elisa Conway, APN
• Iniah Corbitt, MED, LAC
• Matthew Michael Corbo, D.C.
• Rosa M Cortes, PHD

• All providers in Linwood, NJ
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.