Individual provider Active NPI

Dmitry Konsky, D.O.

  • Internal Medicine Physician
  • Oceanside, NY
National Provider Identifier
1720085061
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
225308 Issued in NY
Practice address
1 Healthy Way
Oceanside, NY 11572-1551
Phone
(516) 632-3666
NPI assigned
Jul 1, 2005
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 225308 NY Primary
Hospitalist Physician 208M00000X 225308 NY

Addresses

Primary practice location

1 Healthy Way
Oceanside, NY 11572-1551

Mailing address

31 Sarah Dr
Dix Hills, NY 11746-6321
Phone (469) 371-8466

Other practice location 1

50 Route 25A
Smithtown, NY 11787
Phone (631) 863-3825

Other identifiers 16

IdentifierTypeStateIssuer
02411503MedicaidNY
9295519OtherNYPHCS
138AA2OtherNYEMPIRE
4525743OtherNYCIGNA
281699BOtherNYMAGNACARE
7826491OtherNYAETNA
202203POtherNYHIP
4C9819OtherNYHEALTHNET
P3612466OtherNYOXFORD
21234307347OtherNYBEECHSTREET
2361642OtherNYUNITED HEALTHCARE
2589947OtherNYGHI
431975074OtherNYHORIZON
2100417OtherNYFIRSTHEALTH
431975074OtherNY1199 NATIONAL BENEFIT FUN
KD5308OtherNYATLANTIS

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
I20031104000132 NY Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 8820900251 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Sinai School of MedicineGroup PAC ID 6406096544, 150 clinicians
Preferred Professional Medical Care PCGroup PAC ID 9739359027, 14 clinicians
Michael Bishai MD, LLCGroup PAC ID 1153693254, 9 clinicians

Practice addresses (Care Compare)

1 Healthy Way
Oceanside, NY 11572-1551
Phone (877) 768-8462

3505 Veterans Memorial Hwy
Suite C
Ronkonkoma, NY 11779-7613
Phone (631) 676-7656

5 Beach Rd
Massapequa, NY 11758-6614
Phone (516) 550-9865

900 Woodbury Rd
Woodbury, NY 11797-2536
Phone (516) 407-8096

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225308NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Nov 14, 2018 Accepting new patients
Preferred Professional Medical Care PC Internal Medicine CurrentSince Nov 15, 2021 Accepting new patients
Mount Sinai School of Medicine Internal Medicine CurrentSince Mar 28, 2022 Accepting new patients
Mount Sinai School of Medicine CurrentSince Mar 28, 2022 Accepting new patients
Home Medical Services PLLC Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Michael Bishai MD, LLC Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
Yakov Levy MD PC Past Accepting new patients
St Francis Hospital United States Catholic Conference Past Accepting new patients
American Comprehensive Healthcare Medical Group PC PastSince Nov 1, 2014 Accepting new patients
Aristahealth Medical Care PC PastSince Jul 9, 2023 Accepting new patients
Fedir Ilnitskyy MD PC Internal Medicine PastSince Jan 2, 2018 Accepting new patients

Locations

300 Community Dr
Manhasset, NY 11030

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

3505 Veterans Memorial Hwy
Ste C
Ronkonkoma, NY 11779
Phone (631) 676-7556

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3538

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

900 Franklin Ave
Valley Stream, NY 11580
Phone (516) 256-6000

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 12

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

Hospital & facility affiliations 2

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1720085061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SARAH DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466321",
            "telephone_number": "469-371-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTHY WAY",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721551",
            "telephone_number": "516-632-3666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Route 25A",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "11787",
            "country_code": "US",
            "telephone_number": "631-863-3825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONSKY",
        "first_name": "DMITRY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2023-03-01",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225308",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "225308",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02411503",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9295519",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "138AA2",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4525743",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE",
            "identifier": "281699B",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7826491",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "202203P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "4C9819",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3612466",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET",
            "identifier": "21234307347",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2361642",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2589947",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "431975074",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTHEALTH",
            "identifier": "2100417",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199 NATIONAL BENEFIT FUN",
            "identifier": "431975074",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIS",
            "identifier": "KD5308",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.