Active NPI
Kornblit Medical PC
- Adult Medicine Physician
- Baldwin, NY
National Provider Identifier
1326318882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 153429
- Legal business name
- KORNBLIT MEDICAL PC
- Practice address
- 830 Atlantic Ave
Baldwin, NY 11510-4098 - Phone
- (516) 867-6868
- NPI assigned
- Dec 30, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arthur Kornblit, MD
- Title
- Owner
- Phone
- (516) 867-6868
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 153429 | NY | Primary |
Addresses
Primary practice location
830 Atlantic Ave
Baldwin, NY 11510-4098
Mailing address
830 Atlantic Ave
Baldwin, NY 11510-4098
Phone (516) 867-6868
National Provider Directory
National Provider DirectoryLocations
1647 Ralph Ave
Ste B
Brooklyn, NY 11236
Phone (718) 682-3888
419 Route 59
Monsey, NY 10952
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Brooklyn, NY
- NPI 1437738507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325203200000",
"number": "1326318882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 ATLANTIC AVE",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115104098",
"telephone_number": "516-867-6868"
},
{
"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": {
"organization_name": "KORNBLIT MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-30",
"last_updated": "2011-12-30",
"status": "A",
"authorized_official_last_name": "KORNBLIT",
"authorized_official_first_name": "ARTHUR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-867-6868",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "NY",
"license": "153429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.