Yelena N Korkmazsky, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA07542200 Issued in NJ

Practice address

190 Meisel Ave
Springfield Pediatrics
Springfield, NJ 07081

Phone

(973) 467-1009

Fax

(973) 467-7836

NPI assigned

Apr 19, 2006

Last updated

Nov 8, 2012By the provider in NPPES

Sex

Female

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 NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1306801733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 WEBSTER AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "07901",
            "telephone_number": "908-273-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MEISEL AVE",
            "address_2": "SPRINGFIELD PEDIATRICS",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "07081",
            "telephone_number": "973-467-1009",
            "fax_number": "973-467-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORKMAZSKY",
        "first_name": "YELENA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07542200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uthra Kodiyalam, M.D.,
• Michael Adam Koffman, PH.D.
• Sheryl Kolat, MA, CCC-SLP
• Cheuk Hiu Kong
• Sharon Konigsberg, DMD
• Erica Grace Kottler, APN
• Victoria Anne Kouanang
• Kimberly J Koval, RN, MSN, APN-C
• Michael Kramlick, MSW/LSW
• Jennifer Kret

• Pediatrics Physician in Springfield, NJ
• Providers in Springfield, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.