Individual provider Active NPI

Arthur Kornblit, MD

  • Family Medicine Physician
  • Baldwin, NY
National Provider Identifier
1255413050
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
153429 Issued in NY
Practice address
830 Atlantic Ave
Baldwin, NY 11510-4098
Phone
(516) 867-6868
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 153429 NY
Family Medicine Physician 207Q00000X 153429 NY Primary

Addresses

Primary practice location

830 Atlantic Ave
Baldwin, NY 11510-4098

Mailing address

402 Oceanfront
Long Beach, NY 11561-3100
Phone (516) 376-2453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110504000233 NY Practitioner - Emergency MedicinePractitioner - General PracticePractitioner - Internal Medicine 4981889193 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Jul 1, 2013 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Maimonides Medical Center Current Accepting new patients
Union Medical Care, PLLC CurrentSince Jan 20, 2014 Accepting new patients
Ralph Ave Urgent Care CurrentSince Jun 18, 2023 Accepting new patients
CHS Physician Partners, PC Family Medicine CurrentSince Jul 1, 2013 Accepting new patients

Locations

830 Atlantic Ave
Baldwin, NY 11510
Phone (516) 867-5050

18420 Union Tpke
Fresh Meadows, NY 11366
Phone (646) 453-0219

18606 Union Tpke
Fresh Meadows, NY 11366
Phone (718) 575-0974

243 Atlantic Ave
Lynbrook, NY 11563
Phone (516) 599-2744

745 State Route 17M
Monroe, NY 10950
Phone (845) 782-3200

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Interoperability endpoints

  • Direct secure messaging: arthurkornblit@mai.allscriptsdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1255413050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 OCEANFRONT",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613100",
            "telephone_number": "516-376-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 ATLANTIC AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104098",
            "telephone_number": "516-867-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNBLIT",
        "first_name": "ARTHUR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "NY",
            "license": "153429",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "153429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

Verify at the official NPI Registry.