Kelsey Korobov

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F350180 Issued in NY

Practice address

25 Hopkins Rd
Williamsville, NY 14221-4695

Phone

(716) 632-8050

Fax

(716) 632-2297

NPI assigned

Feb 12, 2024

Last updated

Oct 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kkorobov@apa.medentdirect.com

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

• Amherst Pediatric Associates, P.C.

  • Pediatrics Physician
  • Williamsville, NY
  • NPI 1386943496
  NPD (past)
• Amherst Pediatric Associates, P.C.

  • Pediatrics Physician
  • Williamsville, NY
  • NPI 1831180496
  NPD (past)

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1063276988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 BEDFORD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142163104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOPKINS RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214695",
            "telephone_number": "716-632-8050",
            "fax_number": "716-632-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROBOV",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F350180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avriel Sarah Kopp, PA-C
• Marie Kopta, LPN
• Elizabeth Marchetti Korangy, MD
• Faruk Moinuddin Koreishi, MD
• Taylor Kornacki, RN
• Sandra Korszoloski, LPN
• Karen L Kosar, NURSE PRACTITIONER
• Kosh Dentistry PLLC (Kosh Dental)
• Robert Koshinski, PT DPT
• Lindsay Rose Kosinski, MD

• Family Nurse Practitioner in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.