Jeffrey Corben, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15492 Issued in NY

Practice address

1103 Stewart Ave
Suite 100
Garden City, NY 11530-4886

Phone

(516) 745-1177

Fax

(516) 745-1189

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Group practices

Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Stephen J Nicholas MD PCGroup PAC ID 0446264931, 28 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: jeffrey.corben.1@11998.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Champion Physical Therapy, PLLC

  • Physical Therapist
  • Garden City, NY
  • NPI 1760873970
  Medicare reassignment NPD Authorized official
• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  Medicare reassignment Care Compare group NPD
• Stephen J Nicholas MD PC

  • Orthopaedic Surgery Physician
  • New York, NY
  • NPI 1316933872

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Empire Physical and Occupational Therapy

  • Physical Therapist
  • Garden City, NY
  • NPI 1780075093
  NPD Authorized official
• Montefiore Medical Center

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD
• Stephen J Nicholas MD PC

  • Durable Medical Equipment & Medical Supplies
  • Scarsdale, NY
  • NPI 1093517393
  NPD

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1255359485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 STEWART AVE",
            "address_2": "STE 110",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906611",
            "telephone_number": "516-745-1177",
            "fax_number": "516-745-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 STEWART AVE",
            "address_2": "SUITE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304886",
            "telephone_number": "516-745-1177",
            "fax_number": "516-745-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBEN",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "15492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Conte, DDS
• Maria Claudia Contreras, NP
• Kelly Cooney, OTR
• Karen Cooper, PSY.D.
• Lisa A Coors, PT
• Anthony Thomas Corcoran, MD
• Carly Cordano, PT
• Jessica Corea, LMHC, CASAC-T
• Valentina Coreas
• Corinthian Therapy Management Services, Inc.

• Physical Therapist in Garden City, NY
• Providers in Garden City, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.