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ROGER KOREEN M.D., PC
NPI 1649343914
Specialist in Huntington, NY

Active since November 16, 2006
28 ELM ST, HUNTINGTON, NY 11743(631) 421-4398(631) 421-1914 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Roger Koreen M.d., Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROGER KOREEN M.D., PC (NPI 1649343914), doing business as Roger Koreen, M.d., is a healthcare organization registered as a specialist in Huntington, New York and active in the NPI registry since November 2006. The organization lists Roger Koreen, Owner, as its authorized official.

NPPES Registry Identity

NPI1649343914
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameROGER KOREEN M.D., PC
Location Address28 ELM STHuntington, NY 11743-3402
Mailing Address28 Elm StHuntington, NY 11743-3402 · (631) 421-4398 · Fax (631) 421-1914
Phone(631) 421-4398
Fax(631) 421-1914
Organization SubpartNo
Authorized OfficialRoger KoreenOwner · (631) 421-4398
Enumeration DateNovember 16, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1649343914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 185448
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
28 ELM ST, Huntington, NY 11743
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Other Names 1

Former Legal Business NameRoger Koreen, M.d.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roger Koreen M.d., Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Roger Koreen M.D., PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Phyllis Smith, MD
Dermatology
NPI 1730307026
28 ELM ST
Huntington, NY 11743
(631) 421-4398
✔ PECOS✔ Accepts MedicareSame address
Roger Koreen, MD
Dermatology
NPI 1063444321
28 ELM STREET
Huntington, NY 11743
(631) 421-4398
✔ PECOS✔ Accepts MedicareSame address
Ian Bourhill, MD
Plastic and Reconstructive Surgery
NPI 1811946767
205 E MAIN ST STE 1-6
Huntington, NY 11743
(631) 424-4026
✔ PECOS✔ Accepts Medicare0.1 mi
Luis Berrutti, M.D.
Pathology
NPI 1962548438
2 N PLANDOME RD
Port Washington, NY 11050
(516) 944-3882
✔ PECOS✔ Accepts Medicare15 mi
Gina Marrero, M.D.
Micrographic Dermatologic Surgery
NPI 1205835790
444 MERRICK RD STE LL2
Lynbrook, NY 11563
(516) 599-4242
✔ PECOS✔ Accepts Medicare20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roger Koreen M.D., PC's NPI number?

The NPI number for Roger Koreen M.D., PC is 1649343914. It was assigned to this organization in the NPPES registry on November 16, 2006. The provider was formerly known as Roger Koreen, M.D..

Where is Roger Koreen M.D., PC located?

Roger Koreen M.D., PC is located at 28 Elm St, Huntington, NY 11743. The listed phone number is (631) 421-4398.

What is Roger Koreen M.D., PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Roger Koreen M.D., PC enrolled in Medicare?

Yes. Roger Koreen M.D., PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roger Koreen M.D., PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Roger Koreen M.D., PC, in Dermatology, Micrographic Dermatologic Surgery, Pathology and Plastic and Reconstructive Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Roger Koreen M.D., PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.