Individual provider Active NPI

Corinne E Tobin, MD

  • Diagnostic Radiology Physician
  • Garden City, NY
National Provider Identifier
1477644409
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
191313 Issued in NY
Practice address
990 Stewart Ave
Garden City, NY 11530-4822
Phone
(516) 222-2022
Fax
(516) 222-8475
NPI assigned
Sep 27, 2006
Last updated
May 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 191313 NY Primary

Addresses

Primary practice location

990 Stewart Ave
Garden City, NY 11530-4822

Mailing address

990 Stewart Ave
Garden City, NY 11530-4822
Phone (516) 222-2022

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
I20110223000045 NY Practitioner - Diagnostic Radiology 8628267390 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

Practice addresses (Care Compare)

1 Delaware Dr
Suite 101
New Hyde Park, NY 11042-1116
Phone (631) 751-3000

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
191313NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jan 9, 2015 Accepting new patients
New York University CurrentSince Jan 1, 2016 Accepting new patients
New York University CurrentSince Jan 1, 2016 Accepting new patients
North Shore Hematology Oncology Associates PC Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jan 9, 2015 Accepting new patients
Lake Success Medical Pet Scan Past Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

700 Stewart Ave
Garden City, NY 11530
Phone (516) 222-2020

935 Northern Blvd
Ste 200
Great Neck, NY 11021
Phone (516) 829-4414

300 Community Dr
Manhasset, NY 11030

1 Delaware Dr
Ste 101
New Hyde Park, NY 11042

6 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 222-2236

1500 Route 112
Bldg 2
Port Jefferson Station, NY 11776
Phone (631) 828-3400

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3538

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1477644409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 STEWART AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304822",
            "telephone_number": "516-222-2022",
            "fax_number": "516-222-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 STEWART AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304822",
            "telephone_number": "516-222-2022",
            "fax_number": "516-222-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "CORINNE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "191313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.