Individual provider Active NPI

Jeffrey Lawrence Korenman, DDS

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1366405334
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
050016 Issued in NY
Practice address
447 Fulton St
Brooklyn, NY 11201-5207
Phone
(718) 875-3200
Fax
(718) 875-4573
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 050016 NY Primary

Addresses

Primary practice location

447 Fulton St
Brooklyn, NY 11201-5207

Mailing address

447 Fulton St
Brooklyn, NY 11201-5207
Phone (718) 875-3200

Other identifiers 1

IdentifierTypeStateIssuer
02285610MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
050016NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey L. Korenman DDS PC Current Accepting new patients

Organizations & group practices 1

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366405334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015207",
            "telephone_number": "718-875-3200",
            "fax_number": "718-875-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015207",
            "telephone_number": "718-875-3200",
            "fax_number": "718-875-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORENMAN",
        "first_name": "JEFFREY",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02285610",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.