Individual provider Active NPI

Konstantin Tarashansky, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Huntington, NY
National Provider Identifier
1649458241
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
235202 Issued in NY
Practice address
107 Woodbury Rd
Huntington, NY 11743-4135
Phone
(516) 366-4141
Fax
(631) 318-7680
NPI assigned
Feb 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 235202 NY Primary

Addresses

Primary practice location

107 Woodbury Rd
Huntington, NY 11743-4135

Mailing address

875 Old Country Rd
Suite 200
Plainview, NY 11803-4966
Phone (516) 931-5552

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090917000031 NY Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 2163578121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
State University of New York Downstate Medical Center, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

107 Woodbury Rd
Huntington, NY 11743-4135
Phone (516) 366-4141

Hospital & facility affiliations

  • Plainview Hospital Hospital, Plainview, NY, CCN 330331

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235202NYMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Rhinoplasty PLLC CurrentSince Jul 28, 2025 Accepting new patients
Personal Health Imaging, PLLC Past Accepting new patients

Locations

107 Woodbury Rd
Huntington, NY 11743
Phone (516) 366-4141

Organizations & group practices 2

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 1

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": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1649458241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 OLD COUNTRY RD",
            "address_2": "SUITE 200",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034966",
            "telephone_number": "516-931-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WOODBURY RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434135",
            "telephone_number": "516-366-4141",
            "fax_number": "631-318-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARASHANSKY",
        "first_name": "KONSTANTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-06",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NY",
            "license": "235202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.