Individual provider Active NPI

Robert Kormendi, M.D.

  • General Practice Physician
  • Briarwood, NY
National Provider Identifier
1174654487
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
206148 Issued in NY
Practice address
8339 Daniels St
Briarwood, NY 11435-1208
Phone
(718) 523-4141
Fax
(718) 297-2311
NPI assigned
Mar 8, 2007
Last updated
Jul 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 206148 NY Primary

Addresses

Primary practice location

8339 Daniels St
Briarwood, NY 11435-1208

Mailing address

14160 Pershing Crescent
Briarwood, NY 11435-1946
Phone (718) 523-4141

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)
Enrolled
Credentials
Doctor of Medicine

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247443200000",
    "number": "1174654487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14160 PERSHING CRESCENT",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351946",
            "telephone_number": "718-523-4141",
            "fax_number": "718-297-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8339 DANIELS ST",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351208",
            "telephone_number": "718-523-4141",
            "fax_number": "718-297-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORMENDI",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2009-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "206148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.