Individual provider Active NPI

Dorie Hankin Kronwith, M.D.

  • Developmental - Behavioral Pediatrics Physician
  • Floral Park, NY
National Provider Identifier
1750465670
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
124927-1 Issued in NY
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

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130706000000 NY Practitioner - Pediatric Medicine 1759521297 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
124927-1NYMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Children'S Service, University Faculty Practice Corporatio CurrentSince Mar 15, 2017 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.

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

Verify at the official NPI Registry.