Active NPI
Joel Barry Kornberg, M.D.
- General Practice Physician
- Boca Raton, FL
National Provider Identifier
1932599420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME039029
- Practice address
- 7777 Glades Rd
Ste 100
Boca Raton, FL 33434-4194 - Phone
- (954) 531-9775
- NPI assigned
- Feb 4, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME039029 | FL | |
| General Practice Physician | 208D00000X | ME039029 | FL | Primary |
Addresses
Primary practice location
7777 Glades Rd
Ste 100
Boca Raton, FL 33434-4194
Mailing address
7777 Glades Rd
Ste 100
Boca Raton, FL 33434-4194
Phone (954) 531-9775
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 |
|---|---|---|---|
| ME039029 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inphynet Contracting Services LLC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1932599420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 GLADES RD",
"address_2": "STE 100",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334344194",
"telephone_number": "954-531-9775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 GLADES RD",
"address_2": "STE 100",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334344194",
"telephone_number": "954-531-9775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORNBERG",
"first_name": "JOEL",
"middle_name": "BARRY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-04",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME039029",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME039029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.