Individual provider Active NPI

Michael Korngold, DDS

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1700929312
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
035130 Issued in NY
Practice address
1801 Avenue M
Brooklyn, NY 11230-5348
Phone
(718) 252-8989
Fax
(718) 377-3062
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 035130 NY Primary

Addresses

Primary practice location

1801 Avenue M
Brooklyn, NY 11230-5348

Mailing address

33 Piper Dr.
Searingtown, NY 11230
Phone (516) 248-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151023002024 NY Practitioner - Oral Surgery 8325352479 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Korngold DDS PLLC Dentist CurrentSince Jun 24, 2015 Accepting new patients
Michael Bernfeld DDS Michael Korngold DDS Dentist PastSince Jun 24, 2015 Accepting new patients

Locations

1801 Avenue M
Brooklyn, NY 11230
Phone (718) 252-8989

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700929312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PIPER DR.",
            "city": "SEARINGTOWN",
            "state": "NY",
            "postal_code": "11230",
            "telephone_number": "516-248-0540",
            "fax_number": "718-377-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305348",
            "telephone_number": "718-252-8989",
            "fax_number": "718-377-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNGOLD",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "035130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.