Active NPI
Paul Anthony Corley, MD
- Psychiatry Physician
- Rosedale, NY
National Provider Identifier
1821078460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 174562
- Practice address
- One Cross Island Plaza
Suite 220a
Rosedale, NY 11422-1484 - Phone
- (718) 541-1449
- Fax
- (718) 712-3343
- NPI assigned
- Jan 19, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 174562 | NY | Primary |
Addresses
Primary practice location
One Cross Island Plaza
Suite 220a
Rosedale, NY 11422-1484
Mailing address
11064 Queens Boulevard
Box 129
Forest Hills, NY 11375-6347
Phone (718) 541-1449
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01757693 | Medicaid | NY | |
| 7334026 | Other | NY | GROUP HEALTH INC |
| 291673 | Other | NY | MANAGED HEALTH NETWORK |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- State University of Ny Upstate Medical University, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Cross Island PLZ
Suite 220a
Rosedale, NY 11422-3455
Phone (718) 541-1449
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174562 | NY | MD | Psychiatry Physician |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Rosedale, NY
- NPI 1366617763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1821078460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11064 QUEENS BOULEVARD",
"address_2": "BOX 129",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756347",
"telephone_number": "718-541-1449",
"fax_number": "718-712-3343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE CROSS ISLAND PLAZA",
"address_2": "SUITE 220A",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114221484",
"telephone_number": "718-541-1449",
"fax_number": "718-712-3343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORLEY",
"first_name": "PAUL",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "174562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01757693",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH INC",
"identifier": "7334026",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "291673",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rosedale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.