Individual provider Active NPI

Andrew Coronato, MD

  • Gastroenterology Physician
  • Scotch Plains, NJ
National Provider Identifier
1497747489
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA24325 Issued in NJ
Practice address
940 Fox Hill LN
Scotch Plains, NJ 07076-3404
Phone
(908) 753-4481
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MA24325 NJ Primary

Addresses

Primary practice location

940 Fox Hill LN
Scotch Plains, NJ 07076-3404

Mailing address

940 Fox Hill LN
Scotch Plains, NJ 07076-3404
Phone (908) 753-4481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA24325NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Diagnostic Associates, PA Past Accepting new patients
Practice Associates Medical Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: andrew.coronato@medicaldiagnosticassociatespa.chartmakerdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1497747489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 FOX HILL LN",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070763404",
            "telephone_number": "908-753-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 FOX HILL LN",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070763404",
            "telephone_number": "908-753-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONATO",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA24325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotch Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.