Organization
UNIVERSITY GROUP MEDICAL ASSOCIATES, P.C
Active
Other names
Coney Island Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S JEROME (EXECUTIVE VICE PRESIDENT)
(718) 616-4820
Entity
Organization
Contact information
Practice address
2601 OCEAN PKWY, BUILDING 6, ROOM 201, BROOKLYN, NY 11235-7745
(718) 616-4408
(718) 616-4105
Mailing address
PO BOX 350251, BAY STREET STATION, BROOKLYN, NY 11235-0251
(718) 616-4408
(718) 616-4105
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207N00000X
Dermatology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207U00000X
Nuclear Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
05/08/2006
Last updated
09/11/2025
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