Provider Demographics
NPI:1427142025
Name:KORPONAY, JAMES (DPM)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:KORPONAY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14-26 150TH STREET
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-1750
Mailing Address - Country:US
Mailing Address - Phone:718-767-2828
Mailing Address - Fax:718-767-2873
Practice Address - Street 1:14-26 150TH STREET
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-1750
Practice Address - Country:US
Practice Address - Phone:718-767-2828
Practice Address - Fax:718-767-2873
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004252213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01047209Medicaid
NYT51423Medicare UPIN
NY25336Medicare PIN
NY01047209Medicaid
NY480014903Medicare PIN