Individual provider Active NPI

Gabrielle P Konin, MD

  • Diagnostic Radiology Physician
  • Manhasset, NY
National Provider Identifier
1821314188
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
254282 Issued in NY
Practice address
300 Community Dr
Manhasset, NY 11030-3816
Phone
(516) 562-4084
NPI assigned
Apr 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 254282 NY Primary

Addresses

Primary practice location

300 Community Dr
Manhasset, NY 11030-3816

Mailing address

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-4084

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address gkonin9681@direct.HSS.edu Direct
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/ Direct
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, CT, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20120807000481 NY Practitioner - Diagnostic Radiology 4284880279 Reassigns benefits to 2 organizations
I20160830000582 NJ Practitioner - Diagnostic Radiology 4284880279 Reassigns benefits to 1 organization
I20161215002279 CT Practitioner - Diagnostic Radiology 4284880279 Reassigns benefits to 2 organizations
I20181010000716 FL Practitioner - Diagnostic Radiology 4284880279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albert Einstein College of Medicine of Yeshiva University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ny Society for the Relief of the Ruptured and CrippledGroup PAC ID 3971526278, 29 clinicians
HSS-Florida Physicians LLCGroup PAC ID 5991032369, 60 clinicians

Practice addresses (Care Compare)

1 Blachley Rd
Stamford, CT 06902-0002
Phone (203) 705-2400

1010 Grand CT
Highland Beach, FL 33487-5306
Phone (212) 606-1015

1133 Westchester Ave
White Plains, NY 10604-3516
Phone (212) 606-1000

1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 655-5511

140 E Ridgewood Ave
Suite 175S
Paramus, NJ 07652-3917
Phone (201) 599-8000

168 39TH St
Brooklyn, NY 11232-2549
Phone (212) 774-2474

205 SE Spanish TRL
Boca Raton, FL 33432-6232
Phone (212) 606-1015

300 Palm Beach Lakes Blvd
West Palm Beach, FL 33401-2711
Phone (561) 657-4600

535 E 70TH St
New York, NY 10021-4823
Phone (212) 606-1015

Hospital & facility affiliations

  • Hospital for Special Surgery Hospital, New York, NY, CCN 330270
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101
  • Memorial Hospital for Cancer and Allied Diseases Hospital, New York, NY, CCN 330154
  • Stamford Hospital Hospital, Stamford, CT, CCN 070006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254282NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Society for the Relief of the Ruptured & Crippled Diagnostic Radiology CurrentSince Jul 6, 2013 Accepting new patients
HSS-Florida Physicians LLC CurrentSince Jan 6, 2020 Accepting new patients
New York Society for the Relief of Ruptured and Crippled Maintaining T Past Accepting new patients

Locations

1 Blachley Rd
Stamford, CT 06902
Phone (203) 705-0750

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

140 E Ridgewood Ave
Paramus, NJ 07652
Phone (212) 606-1844

140 E Ridgewood Ave
Ste 175S
Paramus, NJ 07652
Phone (201) 599-8000

168 39th St
Brooklyn, NY 11232
Phone (212) 774-2474

17660 Union Tpke
Fresh Meadows, NY 11366
Phone (212) 774-2474

17660 Union Tpke
Ste 190
Fresh Meadows, NY 11366
Phone (718) 591-5693

535 E 70th St
New York, NY 10021

333 Earle Ovington Blvd
Ste 106
Uniondale, NY 11553
Phone (212) 606-1136

Interoperability endpoints

  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: gkonin9681@direct.hss.edu

Organizations & group practices 3

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 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1821314188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303816",
            "telephone_number": "516-562-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303816",
            "telephone_number": "516-562-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONIN",
        "first_name": "GABRIELLE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "254282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gkonin9681@direct.HSS.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.