Active NPI
Daria Korneva
- Nurse Practitioner
- Bayonne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ01226500
- Practice address
- 988 Broadway
Bayonne, NJ 07002-4036 - Phone
- (201) 339-6111
- NPI assigned
- Nov 9, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ01226500 | NJ | Primary |
Addresses
Primary practice location
988 Broadway
Bayonne, NJ 07002-4036
Mailing address
29 Springbrook Ave
North Haledon, NJ 07508-2537
Phone (862) 232-1902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
988 Broadway
Suite 201
Bayonne, NJ 07002-4036
Phone (201) 339-6111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHMG - United Medical | Current | Accepting new patients | |
| Rapid Access Medical Diagnostics NJ LLC | Past | Accepting new patients |
Locations
988 Broadway
Bayonne, NJ 07002
Phone (201) 339-6111
988 Broadway
Ste 1
Bayonne, NJ 07002
988 Broadway
Ste 201
Bayonne, NJ 07002
Phone (201) 339-6111
533 Lexington Ave
Ste 1
Clifton, NJ 07011
533 Lexington Ave
Clifton, NJ 07011
Phone (973) 546-6844
612 Rutherford Ave
Lyndhurst, NJ 07071
Phone (200) 460-0063
Interoperability endpoints
- dkorneva123914@epicdirect.rwjbh.org
Organizations & group practices 2
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
- Lyndhurst, NJ
- NPI 1639594377
-
- Diagnostic Ultrasound Physician
- Randolph, NJ
- NPI 1780940551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1609532183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 SPRINGBROOK AVE",
"city": "NORTH HALEDON",
"state": "NJ",
"postal_code": "075082537",
"telephone_number": "862-232-1902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "988 BROADWAY",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070024036",
"telephone_number": "201-339-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORNEVA",
"first_name": "DARIA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-09",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ01226500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.