Active NPI
Martin L Korn, MD
- Psychiatry Physician
- Larchmont, NY
National Provider Identifier
1104891498
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Mar 19, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 167602-1
- Practice address
- 88 W Garden Rd
Larchmont, NY 10538-1728 - Phone
- (914) 833-3751
- Fax
- (914) 833-3751
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 167602-1 | NY | Primary |
Addresses
Primary practice location
88 W Garden Rd
Larchmont, NY 10538-1728
Mailing address
88 W Garden Rd
Larchmont, NY 10538-1728
Phone (914) 833-3751
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167602-1 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256601600000",
"number": "1104891498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 W GARDEN RD",
"city": "LARCHMONT",
"state": "NY",
"postal_code": "105381728",
"telephone_number": "914-833-3751",
"fax_number": "914-833-3751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 W GARDEN RD",
"city": "LARCHMONT",
"state": "NY",
"postal_code": "105381728",
"telephone_number": "914-833-3751",
"fax_number": "914-833-3751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORN",
"first_name": "MARTIN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2009-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "167602-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Larchmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.