Physician Compare National (NPI:1659444321)

HEALTHCARE PROVIDER: EDGARD QUINONES MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1659444321
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2163332453
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120124000093
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	QUINONES
	Individual professional last name
Provider First Name	EDGARD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEPHROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEPHROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	122 E MAIN ST
	Group Practice or individual's line 1 address
City	WALDEN
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	125861554
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330126
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ORANGE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330135
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BON SECOURS COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	330205
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST ANTHONY COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	310015
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MORRISTOWN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	390125
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	WAYNE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1659444321)

HEALTHCARE PROVIDER: EDGARD QUINONES MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information