Individual provider Active NPI

Alexander Korenfeld, MD

  • Internal Medicine Physician
  • Cliffside Park, NJ
National Provider Identifier
1063428803
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
63357 Issued in NJ
Practice address
596 Anderson Ave
Suite 302
Cliffside Park, NJ 07010-1831
Phone
(201) 943-2700
Fax
(201) 943-2646
NPI assigned
Aug 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 63357 NJ Primary
Internal Medicine Physician 207R00000X 204339 NY

Addresses

Primary practice location

596 Anderson Ave
Suite 302
Cliffside Park, NJ 07010-1831

Mailing address

559 Wittich Ter
Rivervale, NJ 07675-6006
Phone (201) 505-9457

Other identifiers 1

IdentifierTypeStateIssuer
7101805MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928000017 NJ Practitioner - Internal Medicine 6901831007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renaissance General Medicine PCGroup PAC ID 7012081904, 2 clinicians

Practice addresses (Care Compare)

596 Anderson Ave
Suite 302
Cliffside Park, NJ 07010-1856

596 Anderson Ave
Suite 302
Cliffside Park, NJ 07010-1886
Phone (201) 943-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63357NJMDInternal Medicine Physician
204339NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance General Medicine PC CurrentSince Aug 6, 1996 Accepting new patients

Locations

596 Anderson Ave
Ste 302
Cliffside Pk, NJ 07010
Phone (201) 943-2700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063428803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 WITTICH TER",
            "city": "RIVERVALE",
            "state": "NJ",
            "postal_code": "076756006",
            "telephone_number": "201-505-9457",
            "fax_number": "201-943-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 ANDERSON AVE",
            "address_2": "SUITE 302",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101831",
            "telephone_number": "201-943-2700",
            "fax_number": "201-943-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORENFELD",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "63357",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "204339",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

Verify at the official NPI Registry.