Active NPI
Patricia Coquillon, M.D.
- Emergency Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- Q1383
- Practice address
- 800 Poly Place
VA Ny Harbor Healthcare System
Brooklyn, NY 11209 - Phone
- (718) 836-6600
- NPI assigned
- Jul 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Q1383 | TX | Primary |
Addresses
Primary practice location
800 Poly Place
VA Ny Harbor Healthcare System
Brooklyn, NY 11209
Mailing address
214 Macdougal St
Apt C2
Brooklyn, NY 11233-2750
Phone (516) 512-1740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Bortolazzo Group, LLC | Emergency Medicine | Current | Accepting new patients |
| The Southeast Permanente Medical Group | Current | Accepting new patients | |
| Peachtree Immediate Care FP, LLC | Current | Accepting new patients | |
| St Joseph Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Texas Em-1 Medical Services PA | Emergency Medicine | Past | Accepting new patients |
| Singleton Associates PA | Past | Accepting new patients |
Locations
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
590 Lanier Ave W
Fayetteville, GA 30214
1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
- Emergency Medicine Physician
- Austell, GA
- NPI 1801965082
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1326324047
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1679648695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410739200000",
"number": "1386956357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 MACDOUGAL ST",
"address_2": "APT C2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112332750",
"telephone_number": "516-512-1740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 POLY PLACE",
"address_2": "VA NY HARBOR HEALTHCARE SYSTEM",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11209",
"telephone_number": "718-836-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COQUILLON",
"first_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-07",
"last_updated": "2014-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "Q1383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.