Organization Active NPI

Lawrence Korn, MD LLC

  • Obstetrics & Gynecology Physician
  • Great Neck, NY
National Provider Identifier
1891044772
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
187213 Issued in NY
Legal business name
LAWRENCE KORN, MD LLC
Practice address
900 Northern Blvd
Suite 245
Great Neck, NY 11021-5337
Phone
(516) 482-4343
Fax
(516) 482-0112
NPI assigned
Sep 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Mrs. Dorothy Licul, RMC
Title
Billing Manager
Phone
(516) 482-4343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 187213 NY Primary

Addresses

Primary practice location

900 Northern Blvd
Suite 245
Great Neck, NY 11021-5337

Mailing address

900 Northern Blvd
Suite 245
Great Neck, NY 11021-5337
Phone (516) 482-4343

National Provider Directory

National Provider Directory

Locations

900 Northern Blvd
Ste 245
Great Neck, NY 11021
Phone (516) 482-4343

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1891044772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NORTHERN BLVD",
            "address_2": "SUITE 245",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215337",
            "telephone_number": "516-482-4343",
            "fax_number": "516-482-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NORTHERN BLVD",
            "address_2": "SUITE 245",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215337",
            "telephone_number": "516-482-4343",
            "fax_number": "516-482-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE KORN, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "LICUL",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "516-482-4343",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RMC"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "187213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.