Active NPI
Dorie Hankin Kronwith, M.D.
- Developmental - Behavioral Pediatrics Physician
- Floral Park, NY
National Provider Identifier
1750465670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- 124927-1
- Practice address
- 26910 Grand Central Pkwy Apt 14O
Floral Park, NY 11005-1014 - Phone
- (516) 509-6642
- Fax
- (347) 235-0772
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 124927-1 | NY | Primary |
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | 124927-1 | NY |
Addresses
Primary practice location
26910 Grand Central Pkwy Apt 14O
Floral Park, NY 11005-1014
Mailing address
26910 Grand Central Pkwy Apt 14O
Floral Park, NY 11005-1014
Phone (516) 509-6642
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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124927-1 | NY | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Children'S Service, University Faculty Practice Corporatio | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Past | Accepting new patients |
Locations
2701 Sunrise Hwy
Islip Terrace, NY 11752
Phone (631) 444-6300
37 Research Way
Setauket, NY 11733
Phone (631) 444-4121
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.
-
- Pediatrics Physician
- Stony Brook, NY
- NPI 1083660575
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1750465670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26910 GRAND CENTRAL PKWY APT 14O",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110051014",
"telephone_number": "516-509-6642",
"fax_number": "347-235-0772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26910 GRAND CENTRAL PKWY APT 14O",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110051014",
"telephone_number": "516-509-6642",
"fax_number": "347-235-0772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRONWITH",
"first_name": "DORIE",
"middle_name": "HANKIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "NY",
"license": "124927-1",
"primary": true
},
{
"code": "2080P0008X",
"taxonomy_group": "",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": "NY",
"license": "124927-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.