East End Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EAST END SURGERY CENTER LLC

Practice address

287 Wading River Road
Unit 2a
Manorville, NY 11949

Phone

(631) 591-3000

Fax

(631) 591-1734

NPI assigned

Sep 23, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Mark Coronel, MDNPI 1346416963

Title

President/Owner

Phone

(631) 591-3000

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Jacob Coronel, MD

  • Internal Medicine Physician
  • Manorville, NY
  • NPI 1346416963
  Authorized official Same address or phone

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1720991680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 WADING RIVER ROAD",
            "address_2": "UNIT 2A",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "11949",
            "telephone_number": "631-591-3000",
            "fax_number": "631-591-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 WADING RIVER ROAD",
            "address_2": "UNIT 2A",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "11949",
            "telephone_number": "631-591-3000",
            "fax_number": "631-591-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST END SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "CORONEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "631-591-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Dinapoli, DPM
• Alice Domino
• Jennifer Donnelly, LCSW
• James L Earl, FNP-C
• East End Gastroenterology PLLC
• Eastport South Manor Central School District
• Eastport South Manor School District
• Katelyn Edwards
• Bassey Ulo Enyenihi
• Janet Marie Erario, R.N.

• Ambulatory Surgical Clinic/Center in Manorville, NY
• Providers in Manorville, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.