DR. KRISTOPHER PAUL KORSAKOFF (NPI# 1174589246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174589246 |
| Entity Type | Individual |
| Full Name | DR. KRISTOPHER PAUL KORSAKOFF |
| Credential | M.D. |
| Practice Address |
212 State Route 94 Suite 1a Vernon NJ 07462 |
| Mailing Address |
20 Grand Street 3rd Fl Warwick NY 10990-1035 |
| Practice Telephone | 9738646029 |
| Practice Fax Number | 9738641010 |
| Mailing Telephone | 8459873901 |
| Mailing Fax Number | 8459875979 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2016-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD425976 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MA72514 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
235632 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
212 STATE ROUTE 94 SUITE 1A |
| City | VERNON |
| State | NJ |
| Zip Code | 07462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447371927 | Kristopher Korsakoff Md LLC | Internal Medicine | 212 State Route 94, Suite 1a, Vernon, NJ 07462 | 2007-04-03 |
| 1558381749 | Edward Sandgran | Physical Therapist | 212 State Route 94, Suite 2f, Vernon, NJ 07462 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326699786 | Deividas Jeskevicius | Occupational Therapist | 212 Nj-94 Unit 2g & 2h, Vernon, NJ 07462 | 2019-09-26 |
| 1053788224 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 530 County Route 515, Unit 1, Vernon, NJ 07462 | 2015-08-24 |
| 1851788350 | Alpha & Omega Dental of Nj, LLP | Dentist | 6 Church St., Vernon, NJ 07462 | 2015-04-22 |
| 1871924050 | Eugene Santos | Specialist/Technologist | 42 Birch Drive, Vernon, NJ 07462 | 2013-12-12 |
| 1336498765 | Asha Reddy Thadisina | Pharmacist | 525 County Road 515, Vernon, NJ 07462 | 2012-08-30 |
| 1013236512 | Valerie Lee Thayer | Pharmacist | 525 State Route 515, Vernon, NJ 07462 | 2010-05-24 |
| 1003048844 | Joshua Seungju Chung | Dentist | 6 Church Street, Vernon, NJ 07462 | 2009-08-12 |
| 1861676454 | Lois Ann Reinhardt | Counselor | 529 Route 515 /guthrie Corner, Suite 202, Vernon, NJ 07462 | 2007-12-19 |
| 1598971442 | Laura Ann Covucci | Dentist | 248 Route 94 North, Vernon, NJ 07462 | 2007-05-15 |
| 1326163288 | Donald John Mattucci Jr. | Dentist | 249 Route 94, Vernon, NJ 07462 | 2007-03-20 |
| Find all providers in zip 07462 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225000870 | Ali Hemacha | Internal Medicine | 428 Hartford Tpke, Suite 207, Vernon, CT 06066-4841 | 2006-02-07 |
| 1447556105 | Advanced Gastroenterology of Northern Nj PC | Internal Medicine | 521 Route 515, Suites 3 & 4, Vernon, NJ 07462-3033 | 2011-01-28 |
| 1881802205 | Eastern Connecticut Gastroenterology,llc | Internal Medicine | 460 Hartford Tpke, Suite B, Vernon, CT 06066-4819 | 2007-05-18 |
| 1447371927 | Kristopher Korsakoff Md LLC | Internal Medicine | 212 State Route 94, Suite 1a, Vernon, NJ 07462 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843483 | Alok Goyal, M.d. | Internal Medicine | 2509 Park Ave Ste 1a, South Plainfield, NJ 07080-5300 | 2020-05-21 |
| 1386111524 | Premier Gastroenterology of Hamilton | Internal Medicine | 2271 Route 33 Ste 110, Hamilton, NJ 08690-1749 | 2018-10-25 |
| 1063908739 | Hemorrhoids Usa Pa | Internal Medicine | 300b Princeton Hightstown Rd Ste 206a, East Windsor, NJ 08520-1400 | 2018-07-06 |
| 1275038499 | Srinivas Madane LLC | Internal Medicine | 33 Ridgeline Dr, Long Valley, NJ 07853-3376 | 2018-03-28 |
| 1043726821 | Gi Endoscopy Practice LLC | Internal Medicine | 44 State Rt 23 Ste 7, Riverdale, NJ 07457-1603 | 2017-12-15 |
| 1326553033 | Richard G Pizzano | Internal Medicine | 135 Bloomfield Ave Ste K, Bloomfield, NJ 07003-5902 | 2017-12-05 |
| 1609387109 | Medigest Healthcare Services LLC | Internal Medicine | 1030 Saint Georges Ave Ste 103a, Avenel, NJ 07001-1330 | 2017-10-24 |
| 1306372578 | Advocare Allied Gastrointestinal Associates | Internal Medicine | 401 Route 73 N, Bldg 10, Ste 320, Lake Center Executive Park, Marlton, NJ 08053 | 2017-05-10 |
| 1144779133 | East Brunswick Endoscopy Center Inc | Internal Medicine | 385 Highway 18, East Brunswick, NJ 08816-5703 | 2016-10-01 |
| 1841651965 | Kovil Ramaswamy Md Pa | Internal Medicine | 534 Avenue E Ste 1-a, Bayonne, NJ 07002-3987 | 2016-03-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.