Individual provider Active NPI

Jeffrey Kornreich, MD

  • Physical Medicine & Rehabilitation Physician
  • Massapequa, NY
National Provider Identifier
1386712487
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
194593 Issued in NY
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

Updated by the provider on Nov 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01749962MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304001197 NY Practitioner - Physical Medicine and Rehabilitation 7719875574 Reassigns benefits to 5 organizations
Practice locations: Levittown, NY

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
Bronxcare Health SystemGroup PAC ID 3870404429, 335 clinicians

Practice addresses (Care Compare)

1650 Grand Concourse
Bronx, NY 10457-7606
Phone (718) 590-1800

Hospital & facility affiliations

  • Bronxcare Hospital Center Hospital, Bronx, NY, CCN 330009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Parkway Pain Care & Rehabilitation P.C. Physical Medicine & Rehabilitation CurrentSince Sep 15, 2011 Accepting new patients
Bronxcare Health System CurrentSince Aug 14, 2019 Accepting new patients
Bronxcare Health System CurrentSince Aug 14, 2019 Accepting new patients
Riverdale Medicine,LLP Physical Medicine & Rehabilitation CurrentSince Dec 1, 2009 Accepting new patients
Be Well Primary Health Care Center, LLC CurrentSince Mar 15, 2019 Accepting new patients
Westbury Medical Care, P.C. CurrentSince May 1, 2016 Accepting new patients
Spectrum Physical Therapy & Chiropractic, PLLC PastSince Sep 14, 2015 Accepting new patients
Post Chiropractic P.C. Past Accepting new patients
Arthur L Autz MD PC PastSince Nov 1, 2013 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.