Individual provider Active NPI

Yelena Korenfeld, MD

  • Internal Medicine Physician
  • Cliffside Park, NJ
National Provider Identifier
1720094576
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
64701 Issued in NJ
Practice address
596 Anderson Ave
Suite 302
Cliffside Park, NJ 07010-1831
Phone
(201) 943-2700
Fax
(201) 943-2646
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 64701 NJ Primary

Addresses

Primary practice location

596 Anderson Ave
Suite 302
Cliffside Park, NJ 07010-1831

Mailing address

559 Wittich Ter
Rivervale, NJ 07675-6006
Phone (201) 505-9457

Other identifiers 1

IdentifierTypeStateIssuer
7101902MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927001336 NJ Practitioner - Internal Medicine 7618902883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renaissance General Medicine PCGroup PAC ID 7012081904, 2 clinicians

Practice addresses (Care Compare)

596 Anderson Ave
Suite 302
Cliffside Park, NJ 07010-1856

596 Anderson Ave
Suite 302
Cliffside Park, NJ 07010-1886
Phone (201) 943-2700

Hospital & facility affiliations

  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
64701NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance General Medicine PC CurrentSince Jun 16, 2008 Accepting new patients

Locations

596 Anderson Ave
Ste 302
Cliffside Pk, NJ 07010
Phone (201) 943-2700

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1720094576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 WITTICH TER",
            "city": "RIVERVALE",
            "state": "NJ",
            "postal_code": "076756006",
            "telephone_number": "201-505-9457",
            "fax_number": "201-943-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 ANDERSON AVE",
            "address_2": "SUITE 302",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101831",
            "telephone_number": "201-943-2700",
            "fax_number": "201-943-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORENFELD",
        "first_name": "YELENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "64701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

Verify at the official NPI Registry.