Organization
UNIVERSITY GROUP MEDICAL ASSOCIATES, P.C
Active
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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