Michael B Korzen, D.D,S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

40878 Issued in NY

Practice address

190 Quassaick Ave
New Windsor, NY 12553-7144

Phone

(845) 565-2010

Fax

(845) 565-2018

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730398397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 QUASSAICK AVE",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125537144",
            "telephone_number": "845-565-2010",
            "fax_number": "845-565-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 QUASSAICK AVE",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125537144",
            "telephone_number": "845-565-2010",
            "fax_number": "845-565-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORZEN",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D,S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "40878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harriet Kleiner
• Amber Lynn Knapp
• John Emil Knipp, MD
• Bon Chang A. Koo, MD
• Nicole Michele Kortright, CF-SLP TSSLD
• Rheonna Fortune Koss
• Jessica A Kostenblatt-Valdez, LCSW
• Samuel Kramer, D.D.S.
• Mark L Krivda, PT
• Renata Nahum Krymkevich, MD

• Endodontics in New Windsor, NY
• Providers in New Windsor, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.