Active NPI
Dina Halpern Kornblau, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Bronx, NY
National Provider Identifier
1881663961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 190290 1
- Practice address
- 2385 Arthur Ave
Suite 206
Bronx, NY 10458-8184 - Phone
- (718) 220-9755
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 190290 1 | NC | Primary |
Addresses
Primary practice location
2385 Arthur Ave
Suite 206
Bronx, NY 10458-8184
Mailing address
7941 212TH St
Oakland Gardens, NY 11364-3505
Phone (718) 479-4541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01782829-01GP | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190290 1 | NC | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SBH Physicians, PC | Past | Accepting new patients | |
| Arthur Avenue Pediatrics PC | Past | Accepting new patients |
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
- Bronx, NY
- NPI 1609090018
-
- Pediatrics Physician
- Bronx, NY
- NPI 1457665937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1881663961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7941 212TH ST",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "113643505",
"telephone_number": "718-479-4541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2385 ARTHUR AVE",
"address_2": "SUITE 206",
"city": "BRONX",
"state": "NY",
"postal_code": "104588184",
"telephone_number": "718-220-9755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORNBLAU",
"first_name": "DINA",
"middle_name": "HALPERN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "NC",
"license": "190290 1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01782829-01GP",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.