Susan Konitsky, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

151888 Issued in NY

Practice address

252 Main St
Goshen, NY 10924-2178

Phone

(845) 294-8364

NPI assigned

Feb 12, 2010

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wellness Home Care, LTD.

  • Home Health Agency
  • Goshen, NY
  • NPI 1912016932
  NPD (past)

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1760714901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 DELAWARE DR APT 3",
            "city": "MATAMORAS",
            "state": "PA",
            "postal_code": "183361232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 MAIN ST",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242178",
            "telephone_number": "845-294-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONITSKY",
        "first_name": "SUSAN",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "151888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "151888",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Ying Ying Ko, PT
• Koa Intuitive Therapy LLC
• Kimi Kodilanen, COTA
• Katherine Kolesar, PT
• Bridget A Kolka
• Irina V Koreen, MD, PHD
• Kristy Lynn Kosior
• Katelynn Marie Kostro
• Lidia B Koulova, MD
• Raymond Edward Kozireski Jr.

• Licensed Practical Nurse in Goshen, NY
• Providers in Goshen, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.