Jonathan Scott Korngold, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

055579 Issued in NY

Practice address

1801 Avenue M
Brooklyn, NY 11230-5348

Phone

(718) 252-8989

Fax

(718) 377-3062

NPI assigned

Jul 27, 2011

Sex

Male

Sole proprietor

Yes

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Michael Bernfeld DDS Michael Korngold DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Brooklyn, NY
  • NPI 1205972650
  NPD (past)
• Michael Korngold DDS PLLC

  • Dentist
  • Brooklyn, NY
  • NPI 1336470061
  NPD (past)

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1558649442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305348",
            "telephone_number": "718-252-8989",
            "fax_number": "718-377-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305348",
            "telephone_number": "718-252-8989",
            "fax_number": "718-377-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNGOLD",
        "first_name": "JONATHAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Hadassah Kornfeld, OT/R
• Judith Kornfeld, M.S. ED
• Mordechai Kornfeld
• Rachel Kornfeld, M.S. CCC-SLP
• Stephen David Kornfeld, D.O.
• Michael Korngold, DDS
• Robert Korngut, DDS
• Sarah Emily Kornhauser
• Inga Kornitsky, PA
• Yury Kornitsky, R.PH.

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.