Craig Kornreich, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

204973-1 Issued in NY

Practice address

258 Merrick Rd
Oceanside, NY 11572-1427

Phone

(516) 766-0345

Fax

(516) 255-5353

NPI assigned

Jul 7, 2005

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

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

Specialty

Dermatology

Education

Columbia University College of Physicians and Surgeons, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Nassau Dermatology PC 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• South Nassau Dermatology P.C.

  • Specialist
  • Oceanside, NY
  • NPI 1144272899

  Dermatology, NY

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1336146232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 MERRICK RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721427",
            "telephone_number": "516-766-0345",
            "fax_number": "516-255-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 MERRICK RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721427",
            "telephone_number": "516-766-0345",
            "fax_number": "516-255-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNREICH",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "204973-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dmitry Konsky, D.O.
• Foula Chrissy Kontonicolas, MD
• Diana Catherine Kontonotas-Willis, DO
• Akua T Kordieh
• Brett Kornblum
• Avraham Kosoff, PT
• Carol L Kowalski, PT
• Robert J Kramer, M.D.
• Sean G Krapf, D.O.
• Ovidiu A. Krausz, MD

• All providers in Oceanside, NY
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.
• 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.