Individual provider Active NPI

Arthur A Kornbluth, MD

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1104835784
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
165586 Issued in NY
Practice address
1751 York Ave
New York, NY 10128-6828
Phone
(212) 369-2490
Fax
(212) 987-9676
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 165586 NY Primary

Addresses

Primary practice location

1751 York Ave
New York, NY 10128-6828

Mailing address

1751 York Ave
New York, NY 10128-6828
Phone (212) 369-2490

Medicare participation

Medicare enrollment files
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 Dec 18, 2015 through Dec 18, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
165586NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Gastroenterology Associates LLP Gastroenterology Past Accepting new patients
York Avenue Medical Services, P.C. PastSince Jan 15, 2020 Accepting new patients
Arthur a Kornbluth MD PC Gastroenterology PastSince Nov 29, 2015 Accepting new patients

Organizations & group practices 3

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104835784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286828",
            "telephone_number": "212-369-2490",
            "fax_number": "212-987-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286828",
            "telephone_number": "212-369-2490",
            "fax_number": "212-987-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNBLUTH",
        "first_name": "ARTHUR",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "165586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.