Individual provider Active NPI

Susan Marie Konish, FNP-C

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1760015275
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345193 Issued in NY
Practice address
710 W 168TH St
New York, NY 10032-3726
Phone
(212) 305-6788
Fax
(212) 305-1504
NPI assigned
Feb 13, 2020
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 345193 NY Primary
Family Nurse Practitioner 363LF0000X 26NJ01210800 NJ

Addresses

Primary practice location

710 W 168TH St
New York, NY 10032-3726

Mailing address

242 King Avenue Suite 150
Athens, GA 30606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220920001108 NY Practitioner - Nurse Practitioner 4082099569 Reassigns benefits to 2 organizations
I20250926003703 GA Practitioner - Nurse Practitioner 4082099569 Reassigns benefits to 1 organization
I20251124003457 NJ Practitioner - Nurse Practitioner 4082099569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Piedmont Athens Specialty Care LLCGroup PAC ID 8820349772, 116 clinicians
Py Medical Services of NJ LLCGroup PAC ID 6901276922, 46 clinicians

Practice addresses (Care Compare)

242 King Ave
Suite 150
Athens, GA 30606-2966
Phone (706) 475-1870

540 W Hanover Ave
Morris Township, NJ 07960-2500
Phone (973) 607-2319

Merit-based Incentive Payment System (MIPS)

Final score
96.73 of 100Reported as apm
Quality
87.82
Promoting interoperability
92
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01210800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Athens Specialty Care LLC CurrentSince Jul 14, 2025 Accepting new patients
Bon Secours Charity Health System Medical Group, P.C. CurrentSince Sep 25, 2022 Accepting new patients
Trustees of Columbia University in the City of New York Nurse Practitioner CurrentSince Jul 23, 2022 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jul 23, 2022 Accepting new patients
Py Medical Services of NJ LLC CurrentSince Nov 1, 2025 Accepting new patients
Good Samaritan Hospital of Suffern Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

340 Exchange Blvd
Bethlehem, GA 30620
Phone (678) 963-7171

104 Pension Rd
Manalapan, NJ 07726
Phone (732) 446-1804

65 Jay St
Newark, NJ 07103
Phone (973) 447-8882

540 W Hanover Ave
Township of Mendham, NJ 07960
Phone (973) 285-2800

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

5141 Broadway
New York, NY 10034
Phone (212) 932-4000

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

710 W 168th St
New York, NY 10032
Phone (212) 305-0217

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224

20 Grand St
Fl 3
Warwick, NY 10990
Phone (845) 987-3901

Networks

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

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1760015275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 KING AVENUE SUITE 150",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323726",
            "telephone_number": "212-305-6788",
            "fax_number": "212-305-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONISH",
        "first_name": "SUSAN MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345193",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01210800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.