NPIMap

Organization Active NPI

Joel Barry Kornberg, MD, PA

  • General Practice Physician
  • Boca Raton, FL
National Provider Identifier
1699161885
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME39029 Issued in FL
Legal business name
JOEL BARRY KORNBERG, MD, PA
Practice address
7777 Glades Rd
Ste 100
Boca Raton, FL 33434-4194
Phone
(954) 531-9775
NPI assigned
Apr 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Authorized official

Name
Dr. Joel Barry Kornberg, M.D.
Title
President
Phone
(954) 531-9775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME39029 FL Primary

Addresses

Primary practice location

7777 Glades Rd
Ste 100
Boca Raton, FL 33434-4194

Mailing address

7777 Glades Rd
Ste 100
Boca Raton, FL 33434-4194
Phone (954) 531-9775

Other names 1

  • Joel Barry Kornberg, M.D. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1699161885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 GLADES RD",
            "address_2": "STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344194",
            "telephone_number": "954-531-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 GLADES RD",
            "address_2": "STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344194",
            "telephone_number": "954-531-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL BARRY KORNBERG, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "KORNBERG",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-531-9775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME39029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joel Barry Kornberg, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Joel Barry Kornberg, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.