DR. JAY MITCHELL KORNGOLD M.D. - NPI 1386795664

Q: What is Jay Korngold's NPI number?

The NPI number for Jay Korngold is 1386795664. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Q: What is Jay Korngold's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Jay Korngold was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Jay Mitchell Korngold M.d. NPPES

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

DR. JAY MITCHELL KORNGOLD M.D. (NPI 1386795664) is an individual specialist in New City, New York, licensed in New York (222599-1) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (1991).

NPPES Registry Identity

NPI1386795664

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. JAY MITCHELL KORNGOLDCredential: M.D.

Location Address125 S MAIN STNew City, NY 10956-3501

Mailing Address125 S Main StNew City, NY 10956-3501 · (845) 634-4554 · Fax (845) 639-1959

Phone(845) 634-4554

Fax(845) 639-1959

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1991

Enumeration DateJanuary 15, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1386795664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Licenses✔ Licensed in NY · 222599-1✔ Licensed in NJ · 25MA07711400

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

125 S MAIN ST, New City, NY 10956

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Other Identifiers 3

Medicare UPINH82629NY

Medicare ID-Type Unspecified089133TOZNJ

Medicare ID-Type Unspecified1212F1NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jay Mitchell Korngold M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284699349

PECOS Enrollment IDI20041130000945

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

Other Providers at the Same Location NPPES 5

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

ROBIN KORNGOLD MSW

Social Worker (Clinical)