Jonathan Koblenzer, M.D.

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

148833 Issued in NY

Practice address

16 E 79TH St
Suite 42
New York, NY 10021-0150

Phone

(212) 794-7115

Fax

(212) 585-2178

NPI assigned

Sep 6, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2014 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073616199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E 79TH ST",
            "address_2": "SUITE 42",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210150",
            "telephone_number": "212-794-7115",
            "fax_number": "212-585-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 79TH ST",
            "address_2": "SUITE 42",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210150",
            "telephone_number": "212-794-7115",
            "fax_number": "212-585-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBLENZER",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "148833",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "148833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01127682",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miyuki Kobayashi
• Toshiko Kobayashi, MA, ATR-BC, LCAT
• Jameela Kobeissi, M.D.
• Neil Kobetz, DC
• Vicki Irene Koblentz
• Jonathan P Kobles, M.D.
• Rachel Kobos, MD
• Allison Kobren, MS, CCC-SLP
• Lauren Whitney Kobren, PHARMD
• Ruth Freedman Kobrin, LMSW

• Geriatric Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Geriatric Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.