Individual provider Active NPI

Donna Marie Konlian, M.D., F.A.C.C.

  • Cardiovascular Disease Physician
  • Wayne, NJ
National Provider Identifier
1144308115
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA06496000 Issued in NJ
Practice address
246 Hamburg Tpke
Suite 201
Wayne, NJ 07470-2156
Phone
(973) 942-1141
Fax
(973) 942-1250
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA06496000 NJ Primary
Nuclear Cardiology Physician 207UN0901X 25MA06496000 NJ

Addresses

Primary practice location

246 Hamburg Tpke
Suite 201
Wayne, NJ 07470-2156

Mailing address

246 Hamburg Tpke
Suite 201
Wayne, NJ 07470-2156
Phone (973) 942-1141

Other identifiers 1

IdentifierTypeStateIssuer
7134606MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050914000641 NJ Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7315970993 Reassigns benefits to 2 organizations
I20110207000371 NY Practitioner - Cardiovascular Disease (Cardiology) 7315970993

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Johns Hopkins University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Josephs Physicians Healthcare Group IncGroup PAC ID 2567645401, 25 clinicians
North Jersey Ekg Reading Group LLCGroup PAC ID 9638338346, 5 clinicians

Practice addresses (Care Compare)

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2052

999 McBride Ave
Suite B204
Woodland Park, NJ 07424-2563
Phone (973) 754-2052

Hospital & facility affiliations

  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Ekg Reading Group LLC Cardiovascular Disease CurrentSince Aug 28, 2003 Accepting new patients
St. Josephs Physicians Healthcare Group Inc Cardiovascular Disease CurrentSince Jan 16, 2011 Accepting new patients
St. Joseph'S Healthcare, Inc. Past Accepting new patients

Locations

1050 Wall St W
Ste 360
Lyndhurst, NJ 07071
Phone (201) 821-7900

19 Yawpo Ave
Oakland, NJ 07436
Phone (201) 337-3412

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

225 Minnisink Rd
Fl 3
Totowa, NJ 07512
Phone (862) 657-3150

510 Hamburg Tpke
Ste 201
Wayne, NJ 07470
Phone (973) 790-3232

468 Parish Dr
Ste 3
Wayne, NJ 07470
Phone (973) 833-7230

246 Hamburg Tpke
Ste 201
Wayne, NJ 07470

999 McBride Ave
Ste B204
Woodland Park, NJ 07424
Phone (973) 256-5667

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1144308115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 HAMBURG TPKE",
            "address_2": "SUITE 201",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702156",
            "telephone_number": "973-942-1141",
            "fax_number": "973-942-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 HAMBURG TPKE",
            "address_2": "SUITE 201",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702156",
            "telephone_number": "973-942-1141",
            "fax_number": "973-942-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONLIAN",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA06496000",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NJ",
            "license": "25MA06496000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7134606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.