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ARDOUIN CORIOLAN
NPI 1992234942
Nurse Practitioner - Psychiatric/Mental Health in Deer Park, NY

Active since June 05, 2017PECOS EnrolledAccepts Medicare Assignment
770 GRAND BLVD, DEER PARK, NY 11729(631) 392-4357(631) 364-9850 Get Directions Write a Review

NPPES record last updated: August 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 6, 2021, Aug 20, 2020, Apr 19, 2019 and 1 more (4 updates tracked since 2017).

About Ardouin Coriolan NPPES

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

ARDOUIN CORIOLAN (NPI 1992234942) is an individual psychiatric/mental health provider in Deer Park, New York, licensed in New York (403554) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1992234942
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameARDOUIN CORIOLAN
Location Address770 GRAND BLVDDeer Park, NY 11729-5750
Mailing Address124 Oakfield AveDix Hills, NY 11746-8114 · (516) 567-9626
Phone(631) 392-4357
Fax(631) 364-9850
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 5, 2017
Last NPPES UpdateAugust 2, 20254 updates tracked since enumeration
NPPES CertifiedAugust 2, 2025
✔ NPI 1992234942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 403554
Also ListedRegistered NurseTaxonomy 163W00000X · License 641751 (NY)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 341841 (NY)
770 GRAND BLVD, Deer Park, NY 11729
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ardouin Coriolan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496292328
PECOS Enrollment IDI20240808003544
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Ardouin Coriolan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stony Brook Psychiatric Associates, University Faculty Practice Corpor
14 mi
Psychiatry
SUNY @ STONY BROOK, HSC, L10, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 133 clinicians in this Medicare group
NPI 1437105905 (631) 444-8125
North Shore-Lij Medical PC
21 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400
Grow Healthcare Group PA
1,106 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11729 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA CRISTINA LIGUORI LCSW
Social Worker (Clinical)
770 GRAND BLVD, SUITE 17
DEER PARK, NY 11729
Suffolk County (631) 392-4357
NICOLETTE ZARCONE
Counselor (Addiction (Substance Use Disorder))
770 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (631) 392-4357
JOSEPH DEL VALLE CASAC
Counselor
770 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (631) 392-4357
SUSAN ZALESKI
Counselor (Addiction (Substance Use Disorder))
770 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (631) 392-4357
GERALD MCCLARY
Counselor (Addiction (Substance Use Disorder))
770 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (631) 392-4357
TERESA BLANDO CASAC-T
Counselor
770 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (646) 801-0617
MRS. GLORIA SOPHIA BEAN CRPA
Peer Specialist
770 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (631) 392-4357
BEHAVIORAL ENHANCEMENT & SUBSTANCE ABUSE MEDICINE TREATMENT PLLC
Community/Behavioral Health
770 GRAND BLVD, SUITE 17
DEER PARK, NY 11729
Suffolk County (631) 392-4357

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 Ardouin Coriolan's NPI number?

The NPI number for Ardouin Coriolan is 1992234942. It was assigned to this individual provider in the NPPES registry on June 5, 2017.

Where is Ardouin Coriolan located?

Ardouin Coriolan practices at 770 Grand Blvd, Deer Park, NY 11729. The listed phone number is (631) 392-4357.

What is Ardouin Coriolan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ardouin Coriolan enrolled in Medicare?

Yes. Ardouin Coriolan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ardouin Coriolan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ardouin Coriolan reassigns Medicare benefits to 3 organizations: Stony Brook Psychiatric Associates, University Faculty Practice Corpor (Stony Brook, NY), North Shore-Lij Medical PC (Great Neck, NY) and Grow Healthcare Group PA (Miami, FL). Each 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 Ardouin Coriolan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ardouin Coriolan accept?

Health plans from Oscar Health list Ardouin Coriolan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ardouin Coriolan was last updated on August 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.