Organization Active NPI

Jeffrey L. Korenman DDS PC

  • Dental Clinic/Center
  • Staten Island, NY
National Provider Identifier
1619686706
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JEFFREY L. KORENMAN DDS PC
Practice address
137 Willowbrook Rd
Staten Island, NY 10302-2404
Phone
(718) 448-1144
NPI assigned
Nov 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Authorized official

Name
Josephine Giaquinto
Title
Office Manager
Phone
(718) 448-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

137 Willowbrook Rd
Staten Island, NY 10302-2404

Mailing address

137 Willowbrook Rd
Staten Island, NY 10302-2404
Phone (718) 448-1144

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1619686706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 WILLOWBROOK RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022404",
            "telephone_number": "718-448-1144",
            "fax_number": "718-815-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 WILLOWBROOK RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022404",
            "telephone_number": "718-448-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L. KORENMAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "GIAQUINTO",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-448-1144"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.