npidexNPI registry + Medicare data

JONATHAN KOBLENZER, M.D.

Geriatric Psychiatry Physician · NEW YORK, NY

Individual Active Opted out of Medicare NPI 1073616199

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Geriatric Psychiatry Physician2084P0805X✓148833NY
Psychiatry Physician2084P0800X148833NY

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Opted out of Medicare (Psychiatry), effective 2014-01-01 through 2028-01-01.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.