Active NPI
Robert Kormendi, M.D.
- General Practice Physician
- Briarwood, NY
National Provider Identifier
1174654487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 206148
- Practice address
- 8339 Daniels St
Briarwood, NY 11435-1208 - Phone
- (718) 523-4141
- Fax
- (718) 297-2311
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01765833 | Medicaid | NY | |
| 6013942 | Other | NY | GHI COMMERCIAL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206148 | NY | MD | General Practice Physician |
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01765833",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI COMMERCIAL",
"identifier": "6013942",
"state": "NY"
}
],
"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.