Active NPI
Yonatan A Korbman, M.S.
- Specialist
- Passaic, NJ
National Provider Identifier
1578863874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 579879
- Practice address
- 199 Lafayette Avenue
2I
Passaic, NJ 07055-4782 - Phone
- (908) 208-0814
- NPI assigned
- Nov 2, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 579879 | NJ | Primary |
Addresses
Primary practice location
199 Lafayette Avenue
2I
Passaic, NJ 07055-4782
Mailing address
199 Lafayette Ave
2I
Passaic, NJ 07055-4782
Phone (908) 208-0814
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 579879 | NJ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1578863874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 LAFAYETTE AVE",
"address_2": "2I",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070554782",
"telephone_number": "908-208-0814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 LAFAYETTE AVENUE",
"address_2": "2I",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070554782",
"telephone_number": "908-208-0814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORBMAN",
"first_name": "YONATAN",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-02",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "579879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.