Active NPI
Jeffrey Kornreich, MD
- Physical Medicine & Rehabilitation Physician
- Massapequa, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 194593
- Practice address
- 566 Broadway
Massapequa, NY 11758 - Phone
- (516) 797-8211
- Fax
- (516) 541-0011
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 194593 | NY | Primary |
Addresses
Primary practice location
566 Broadway
Massapequa, NY 11758
Mailing address
25 Ridge Dr E
Great Neck, NY 11021
Phone (516) 797-8211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01749962 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- State University of New York Downstate Medical Center, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1650 Grand Concourse
Bronx, NY 10457-7606
Phone (718) 590-1800
Hospital & facility affiliations
- Bronxcare Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkway Pain Care & Rehabilitation P.C. | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Bronxcare Health System | Current | Accepting new patients | |
| Bronxcare Health System | Current | Accepting new patients | |
| Riverdale Medicine,LLP | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Be Well Primary Health Care Center, LLC | Current | Accepting new patients | |
| Westbury Medical Care, P.C. | Current | Accepting new patients | |
| Spectrum Physical Therapy & Chiropractic, PLLC | Past | Accepting new patients | |
| Post Chiropractic P.C. | Past | Accepting new patients | |
| Arthur L Autz MD PC | Past | Accepting new patients | |
| Bronxcare Health System | Past | Accepting new patients | |
| South Shore Family Medical Associates, P.C. | Past | Accepting new patients |
Locations
1775 Grand Concourse
Fl 6
Bronx, NY 10453
Phone (718) 901-8110
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
3736 Henry Hudson Pkwy
Bronx, NY 10463
Phone (718) 549-6268
3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177
4303 14th Ave
Brooklyn, NY 11219
Phone (718) 436-7800
355 Post Ave
Ste 100
Westbury, NY 11590
Phone (516) 333-3253
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 11
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.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1245390855
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1083623409
-
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
- NPI 1619072113
-
- Metabolic Nutrition Registered Dietitian
- Bronx, NY
- NPI 1801091533
Physical Medicine & Rehabilitation
-
- Rehabilitation Practitioner
- Westbury, NY
- NPI 1922136571
-
- Methadone Clinic
- Bronx, NY
- NPI 1801428222
-
- Internal Medicine Physician
- Westbury, NY
- NPI 1326133471
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1417027558
-
- Chiropractor
- Westbury, NY
- NPI 1659400752
-
- Family Medicine Physician
- Inwood, NY
- NPI 1720122716
-
- Physical Therapist
- Levittown, NY
- NPI 1063454148
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1417027558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258070400000",
"number": "1386712487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 RIDGE DR E",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-797-8211",
"fax_number": "516-541-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 BROADWAY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "11758",
"telephone_number": "516-797-8211",
"fax_number": "516-541-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORNREICH",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2009-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "194593",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01749962",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.