Matthew R Korsen, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

179575-1 Issued in NY

Practice address

5645 Main St
Flushing, NY 11355-5045

Phone

(718) 670-1435

NPI assigned

Jun 23, 2006

Last updated

Feb 6, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kotlyar Medical PC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1205363454
  NPD
• North Coast Anesthesia LLC

  • Anesthesiology Physician
  • Plainview, NY
  • NPI 1215369210
  NPD
• Milagros D. Diaz, MD, PC

  • Obstetrics & Gynecology Physician
  • Woodbury, NY
  • NPI 1710170824
  NPD (past)
• Unique Pain Medicine PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brooklyn, NY
  • NPI 1265735344
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1396771481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30548",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870548",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "718-670-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORSEN",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "179575-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01782732/003",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Korean Community Services of Metropolitan New York, Inc.
• Chaya Tova Korn, AUD
• Martin Kornblatt, O.D.
• Tatyana Korobova
• Samantha Korovich
• Jonathan Kosowsky
• Jennifer Cordon Kostela, M.D.
• Olga Kotsidis-Dakis, RPH
• Nina Kouprina, MD
• Kostas D Koutsoubis, PT

• Anesthesiology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.