Active NPI
Jonathan PS Knisely, MD
- Radiation Oncology Physician
- New York, NY
National Provider Identifier
1245228246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 032330
- Practice address
- 525 E 68TH St
New York, NY 10065 - Phone
- (212) 746-3610
- Fax
- (212) 746-8749
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 032330 | CT | Primary |
Addresses
Primary practice location
525 E 68TH St
New York, NY 10065
Mailing address
525 East 68TH Street
New York, NY 10065
Phone (212) 746-3610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001323302 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Radiation Oncology | Current | Accepting new patients |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Radiation Oncology | Current | Accepting new patients |
Locations
5645 Main St
Flushing, NY 11355
Phone (718) 670-1435
525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
Interoperability endpoints
- jok9121@direct.nyp.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Long Island City, NY
- NPI 1649286139
-
- Radiation Oncology Physician
- New York, NY
- NPI 1922148576
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Radiation Oncology Physician
- Flushing, NY
- NPI 1750575155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1245228246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 EAST 68TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10065",
"telephone_number": "212-746-3610",
"fax_number": "127-746-8749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E 68TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10065",
"telephone_number": "212-746-3610",
"fax_number": "212-746-8749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNISELY",
"first_name": "JONATHAN",
"middle_name": "PS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CT",
"license": "032330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001323302",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.