Individual provider Active NPI

Gwendolyn Denise Costantini, DNP, FNPC

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1619112166
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F330635 Issued in NY
Practice address
331 Knickerbocker Ave
Brooklyn, NY 11237-3601
Phone
(718) 971-1944
Fax
(718) 971-1945
NPI assigned
Dec 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F330635 NY Primary

Addresses

Primary practice location

331 Knickerbocker Ave
Brooklyn, NY 11237-3601

Mailing address

1797 Pitkin Ave
Brooklyn, NY 11212-7839
Phone (718) 971-1944

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150721002607 NY Practitioner - Nurse Practitioner 3476866369 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
330635NYMDVascular Neurology Physician
F330635NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Family Practice Physicians, PC CurrentSince Mar 7, 2018 Accepting new patients
Doral Medical and Multi Specialty Facility LLC CurrentSince Jul 1, 2025 Accepting new patients
Ny Family Medical Docs PC Past Accepting new patients
Doral Pharmacy LLC Past Accepting new patients

Locations

1797 Pitkin Ave
Ste 2
Brooklyn, NY 11212
Phone (718) 367-2555

1052 Liberty Ave
Brooklyn, NY 11208
Phone (718) 235-5600

331 Knickerbocker Ave
Brooklyn, NY 11237
Phone (718) 971-1944

1220 E New York Ave
Brooklyn, NY 11212
Phone (718) 221-0010

1797 Pitkin Ave
Brooklyn, NY 11212
Phone (718) 367-2555

6414 Myrtle Ave
Glendale, NY 11385
Phone (718) 866-4622

11208 Springfield Blvd
Queens Village, NY 11429
Phone (929) 430-3811

7924 Jamaica Ave
Woodhaven, NY 11421
Phone (516) 239-1800

8616 Jamaica Ave
Woodhaven, NY 11421
Phone (800) 992-6827

7602 Jamaica Ave
Woodhaven, NY 11421

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.

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1619112166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112127839",
            "telephone_number": "718-971-1944",
            "fax_number": "718-971-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 KNICKERBOCKER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112373601",
            "telephone_number": "718-971-1944",
            "fax_number": "718-971-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTANTINI",
        "first_name": "GWENDOLYN",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F330635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.