Active NPI
Daniel C Korman, MD
- Internal Medicine Physician
- Brentwood, NY
National Provider Identifier
1225153067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 175295
- Practice address
- 1646 Brentwood Rd
Brentwood, NY 11717-5534 - Phone
- (631) 231-5200
- Fax
- (631) 231-4431
- NPI assigned
- Mar 20, 2007
- Last updated
- Mar 18, 2024
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 175295 | NY | Primary |
Addresses
Primary practice location
1646 Brentwood Rd
Brentwood, NY 11717-5534
Mailing address
6939 Yellowstone Blvd Apt 503
Forest Hills, NY 11375-3730
Phone (347) 527-2672
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1225153067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6939 YELLOWSTONE BLVD APT 503",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753730",
"telephone_number": "347-527-2672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1646 BRENTWOOD RD",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117175534",
"telephone_number": "631-231-5200",
"fax_number": "631-231-4431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORMAN",
"first_name": "DANIEL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "175295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.