Coyle S Connolly DO PA
NPI 1053367516ActiveOrganization· Dermatology· Linwood, NJ
Dermatology in Linwood, New Jersey, registered in NPPES in May 2006. The authorized official on file is Coyle S. Connolly, DO, President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1053367516 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 26, 2006 |
| Last updated in NPPES | Dec 2, 2020 |
| Certified by provider | Dec 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 25MB06289800 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (PA) |
|---|
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