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DR. JONATHAN KOBLENZER M.D.
NPI 1073616199
Psychiatry & Neurology - Geriatric Psychiatry in New York, NY

Active since September 06, 2006Opted out of Medicare · through Jan 1, 2028
16 E 79TH ST, SUITE 42, NEW YORK, NY 10021(212) 794-7115(212) 585-2178 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jonathan Koblenzer M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN KOBLENZER M.D. (NPI 1073616199) is an individual geriatric psychiatry provider in New York, New York, licensed in New York (148833) and active in the NPI registry since September 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1073616199
Entity TypeIndividualMale
Primary Taxonomy2084P0805X
Provider Legal NameDR. JONATHAN KOBLENZERCredential: M.D.
Location Address16 E 79TH ST, SUITE 42New York, NY 10021-0150
Mailing Address16 E 79th St, Suite 42New York, NY 10021-0150 · (212) 794-7115 · Fax (212) 585-2178
Phone(212) 794-7115
Fax(212) 585-2178
Sole ProprietorYes
Enumeration DateSeptember 6, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1073616199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
License✔ Licensed in NY · 148833
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 148833 (NY)
16 E 79TH ST, New York, NY 10021
Open in Google Maps ↗

Other Identifiers 1

Medicaid01127682NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jonathan Koblenzer M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2014 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2014
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAREN LESLIE BINDER-BRYNES PH.D.
Psychologist (Counseling)
16 E 79TH ST, SUITE 5
NEW YORK, NY 10021
New York County (212) 717-4846
DR. SETH GEORGE AIDINOFF MD
Psychiatry & Neurology (Psychiatry)
16 E 79TH ST, FIFTH FLOOR
NEW YORK, NY 10021
New York County (212) 535-9415

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Koblenzer's NPI number?

The NPI number for Jonathan Koblenzer is 1073616199. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Jonathan Koblenzer located?

Jonathan Koblenzer practices at 16 E 79th St Suite 42, New York, NY 10021. The listed phone number is (212) 794-7115.

What is Jonathan Koblenzer's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Is Jonathan Koblenzer enrolled in Medicare?

No. Jonathan Koblenzer has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jonathan Koblenzer was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.