Individual provider Active NPI

Debra Kornbluh

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1932440716
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
017889 Issued in NY
Practice address
1147 E 26TH St
Brooklyn, NY 11210-4608
Phone
(718) 207-7735
NPI assigned
Mar 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 017889 NY Primary

Addresses

Primary practice location

1147 E 26TH St
Brooklyn, NY 11210-4608

Mailing address

1147 E 26TH St
Brooklyn, NY 11210-4608
Phone (718) 207-7735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130328000151 NY Practitioner - Occupational Therapist in Private Practice 5890930523 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY
I20220318000283 NJ Practitioner - Occupational Therapist in Private Practice 5890930523 Reassigns benefits to 2 organizations
Practice locations: Bergenfield, NJ
I20251118001179 FL Practitioner - Occupational Therapist in Private Practice 5890930523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Columbia University College of Physicians and Surgeons, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Yedei Chesed IncGroup PAC ID 5395115216, 7 clinicians
Bluemark Rehab LLCGroup PAC ID 5092109140, 8 clinicians

Practice addresses (Care Compare)

48 Scotland Hill Rd
Chestnut Ridge, NY 10977-5837
Phone (845) 425-0887

9 Kenyon Dr
Lakewood, NJ 08701-4754
Phone (718) 207-7735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017889NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yedei Chesed Inc CurrentSince Dec 1, 2025 Accepting new patients
Ahava Medical and Rehabilitation Center LLC Past Accepting new patients

Locations

777 Chestnut Ridge Rd
Ste 1A
Chestnut Ridge, NY 10977
Phone (845) 425-0887

48 Scotland Hill Rd
Spring Valley, NY 10977
Phone (845) 425-0887

Organizations & group practices 4

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": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1932440716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 E 26TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104608",
            "telephone_number": "718-207-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 E 26TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104608",
            "telephone_number": "718-207-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNBLUH",
        "first_name": "DEBRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.