Ted Korin

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

41230 Issued in NY

Practice address

2110 Northern Blvd
Suite 207
Manhasset, NY 11030-3502

Phone

(516) 482-5416

Fax

(516) 482-5497

NPI assigned

May 15, 2007

Last updated

May 16, 2019By the provider in NPPES

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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 3, 2016 through Mar 3, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• North Shore Prosthodontics of Woodbury

  • Dentist
  • Woodbury, NY
  • NPI 1003903253
  NPD (past) Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1326254418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 NORTHERN BLVD",
            "address_2": "SUITE 207",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303502",
            "telephone_number": "516-482-5416",
            "fax_number": "516-482-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 NORTHERN BLVD",
            "address_2": "SUITE 207",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303502",
            "telephone_number": "516-482-5416",
            "fax_number": "516-482-5497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Woodbury Rd",
            "address_2": "Ste H",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NY",
            "postal_code": "117972503",
            "country_code": "US",
            "telephone_number": "516-364-2333",
            "fax_number": "516-364-4765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORIN",
        "first_name": "TED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "41230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Dmitriy Kolesnik, DO
• Ezra Kolitz, MD
• Zachary Nathan Kon, MD
• Gabrielle P Konin, MD
• Hillary Lauren Koplinka
• Mitchell Paul Kornhaber, M.A.
• Sarah Beth Kornhaber, C.R.N.A.
• Tadeusz Korszun, MD
• Pratik Kothary
• Jennifer Kraljic, NP

• Prosthodontics in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Prosthodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.