Carlene Bronikowski, D.O.
Individual provider Active NPI Emergency Medicine Physician · Philadelphia, PA
NPI 1992118459 · NPPES record last updated Jul 15, 2025
Key facts
- NPI
- 1992118459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 335711 (NY)
- Practice address
- 5501 Old York Road, Albert Einstein Medical Center,
Philadelphia, PA 19141 - Phone
- (215) 456-6336
- NPI assigned
- Jun 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 19
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rochester General Hospital
Emergency Physician Associates of Pennsylvania PC
Einstein Practice Plan Inc
Practice addresses (Care Compare)
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000
2500 Bernville Rd
Reading, PA 19605-9453
Phone (610) 378-2330
5501 Old York Rd
Phila, PA 19141-3018
Phone (215) 456-6679
Hospital & facility affiliations
- Penn State Health St. Joseph
- Jefferson Einstein Montgomery Hospital
- Jefferson Einstein Philadelphia Hospital
- Thomas Jefferson University Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180615002440 | PA | Practitioner - Emergency Medicine | 1153676002 | Reassigns benefits to 3 organizations |
| I20250903000694 | NY | Practitioner - Emergency Medicine | 1153676002 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Practice Plan Inc | Current |
Accepting new patients | |
| Fornance Physician Services, Inc. | Current |
Accepting new patients | |
| Rochester General Hospital | Current |
Accepting new patients | |
| Fornance Physician Services, Inc | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current |
Accepting new patients | |
| Emergency Physician Associates of Pennsylvania, PC | Emergency Medicine | Current |
Accepting new patients |
| Fornance Physician Services, Inc | Current |
Accepting new patients | |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Newark Wayne Community Hospital | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Current |
Accepting new patients | |
| Newark Wayne Community Hospital | Current |
Accepting new patients | |
| The Unity Hospital of Rochester | Current |
Accepting new patients |
Locations
1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289
60 Township Line Rd
Elkins Park, PA 19027
Phone (215) 663-6000
5501 Old York Rd
#B
Philadelphia, PA 19141
Phone (215) 456-8220
5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630
2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300
559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS019170 | PA | |
| Emergency Medicine Physician | 207P00000X | 335711 | NY | Yes |
Addresses
Primary practice location
5501 Old York Road, Albert Einstein Medical Center,
Philadelphia, PA 19141
Mailing address
5501 Old York Road, Albert Einstein Medical Center
Philadelphia, PA 19141-3018
Phone (215) 456-6336
Other practice location 1
1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-5067
Other providers in Philadelphia, PA
- Christopher Brokus
- Bruno Broll-Barone
- Denise M. Broll-Dalton
- Elise Bromberg
- Michael E Bromberg
- Rasheedah Bronson-Hicks
- Robert Bronstein
- Kristina Marie Brook
- Keysha Denne Brooker
- Alexandra Rose Brookes
All providers in Philadelphia, PA · Emergency Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.