Nina Kononchuk, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

053000 Issued in NY

Practice address

1725 East 12TH Street.
Suite 201
Brooklyn, NY 11229

Phone

(718) 336-6334

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New Horizon Medical P.C.Group PAC ID 6800788811, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• New Horizon Medical P.C.

  • Adolescent and Children Mental Health Clinic/Center
  • Brooklyn, NY
  • NPI 1659324192

  NY

  Medicare reassignment Care Compare group NPD
• Brooklyn Care Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1568668119
  NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255425971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 EAST 12TH STREET.",
            "address_2": "SUITE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-336-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 EAST 12TH STREET.",
            "address_2": "SUITE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-336-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONONCHUK",
        "first_name": "NINA",
        "name_prefix": "Ms.",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "053000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01779831",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Konk Pharmacy Inc
• Konk Pharmacy Inc
• Sudarsanam Konka, MD
• Uchenna Konkow
• Gregory Konny
• Maria Konopka
• Anatoliy Konovalov, D.M.D
• Nicholas Konovalov, PT, DPT
• Alla Konovalova, MS PT
• Mishelle Konovalova

• All providers in Brooklyn, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.