Individual provider Active NPI

Nedzmie Korkut

  • Social Worker
  • Staten Island, NY
National Provider Identifier
1003750688
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
121656 Issued in NY
Practice address
848 Jewett Ave
Staten Island, NY 10314-2810
Phone
(320) 566-8147
NPI assigned
Apr 15, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 121656 NY Primary

Addresses

Primary practice location

848 Jewett Ave
Staten Island, NY 10314-2810

Mailing address

303 Getz Ave
Staten Island, NY 10312-2432
Phone (973) 974-9121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
121656NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
City Zen Licensed Clinical Social Work P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1003750688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 GETZ AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122432",
            "telephone_number": "973-974-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 JEWETT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142810",
            "telephone_number": "320-566-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORKUT",
        "first_name": "NEDZMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "121656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.