Active NPI
East End Internal Medicine PC
- Internal Medicine Physician
- Riverhead, NY
National Provider Identifier
1689985145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- EAST END INTERNAL MEDICINE PC
- Practice address
- 887 Old Country Rd
Suite a
Riverhead, NY 11901-2115 - Phone
- (631) 727-6122
- Fax
- (631) 727-2672
- NPI assigned
- Jun 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William J Kornrich, MD
- Title
- President
- Phone
- (631) 727-6122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
887 Old Country Rd
Suite a
Riverhead, NY 11901-2115
Mailing address
887 Old Country Rd
Suite a
Riverhead, NY 11901-2115
Phone (631) 727-6122
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Riverhead, NY
- NPI 1609988666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277769600000",
"number": "1689985145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "887 OLD COUNTRY RD",
"address_2": "SUITE A",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012115",
"telephone_number": "631-727-6122",
"fax_number": "631-727-2672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "887 OLD COUNTRY RD",
"address_2": "SUITE A",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012115",
"telephone_number": "631-727-6122",
"fax_number": "631-727-2672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST END INTERNAL MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-29",
"last_updated": "2010-06-29",
"status": "A",
"authorized_official_last_name": "KORNRICH",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-727-6122",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
- East End Cardiology, PC
- East End Dialysis Management, LLC
- East End Disability Associates Inc.
- East End Endocrine Associates PC
- East End Family Practice
- East End Nutrition, PLLC
- East End Plastic, Reconstructive & Hand Surgery, P.C.
- East End Pulmonary Care, P.C.
- East End Respiratory Therapy PC
- East End Rheumatology PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.