Anna M. Korkis MD PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MA054387 Issued in NJ

Legal business name

ANNA M. KORKIS MD PA

Practice address

206 Dayton St
Ridgewood, NJ 07450-4409

Phone

(201) 444-0009

Fax

(201) 444-2181

NPI assigned

Mar 1, 2011

Organization subpart

No

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

Authorized official

Name

Anna M Korkis, MDNPI 1912014887

Title

Physician/Owner

Phone

(201) 444-0009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna M Korkis, MD

  • Gastroenterology Physician
  • Ridgewood, NJ
  • NPI 1912014887
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1144528142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 DAYTON ST",
            "address_2": "PO BOX 0495",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504409",
            "telephone_number": "201-444-0009",
            "fax_number": "201-444-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 DAYTON ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504409",
            "telephone_number": "201-444-0009",
            "fax_number": "201-444-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA M. KORKIS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "KORKIS",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "201-444-0009",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA054387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Andre, CCC-SLP
• Andrea C Marana LLC
• Stephen Andreopoulos, PHD
• Daniella Alicia Angello, LCSW
• Dorinda Mary Angelo, RN, LPC
• Jack Annunziato, D.O.
• Constance Antonio, NP
• Paige Applebaum-Farkas, MD
• Talin M Araian
• Alexandra Lynn Arbuco, LAC

• Gastroenterology Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.