Individual provider Active NPI

Ezriel Kornel, MD

  • Neurological Surgery Physician
  • White Plains, NY
National Provider Identifier
1194785592
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
183950 Issued in NY
Practice address
4 Westchester Park Dr FL 4
White Plains, NY 10604-3434
Phone
(914) 948-8448
Fax
(914) 686-5478
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 183950 NY Primary

Addresses

Primary practice location

4 Westchester Park Dr FL 4
White Plains, NY 10604-3434

Mailing address

4 Westchester Park Dr
Ste. 320
White Plains, NY 10604-3497
Phone (914) 948-8003

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 Jul 1, 2021 through Jul 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
183950NYMDNeurological Surgery Physician

Interoperability endpoints

  • Direct secure messaging: ekornel@direct.health-quest.org
  • Direct secure messaging: ekornel67078@northwell.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1194785592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WESTCHESTER PARK DR",
            "address_2": "STE. 320",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043497",
            "telephone_number": "914-948-8003",
            "fax_number": "914-686-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WESTCHESTER PARK DR FL 4",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043434",
            "telephone_number": "914-948-8448",
            "fax_number": "914-686-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNEL",
        "first_name": "EZRIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "183950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.