Individual provider Active NPI

Connor Jarrett Kinslow, MD

  • Radiation Oncology Physician
  • New York, NY
National Provider Identifier
1992333025
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
336936 Issued in NY
Practice address
1275 York Ave
New York, NY 10065-6007
Phone
(212) 639-5868
NPI assigned
Apr 1, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 336936 NY Primary

Addresses

Primary practice location

1275 York Ave
New York, NY 10065-6007

Mailing address

4039 25TH Ave
Apt 1
Astoria, NY 11103
Phone (646) 641-3027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20251001000498 NY Practitioner - Radiation Oncology 4082110853 Reassigns benefits to 1 organization
I20251008004754 NJ Practitioner - Radiation Oncology 4082110853 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Radiation Oncology GroupGroup PAC ID 8527957091, 92 clinicians
MSK MonmouthGroup PAC ID 1153619291, 300 clinicians

Practice addresses (Care Compare)

1101 Hempstead Tpke
Uniondale, NY 11553-1112
Phone (516) 559-1000

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

480 Red Hill Rd
Middletown, NJ 07748-3052
Phone (908) 542-3007

500 Westchester Ave
West Harrison, NY 10604-3200
Phone (914) 367-7105

650 Commack Rd
Commack, NY 11725-5404
Phone (631) 623-4300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Monmouth Radiation Oncology CurrentSince Aug 11, 2025 Accepting new patients
MSK Bergen Radiation Oncology CurrentSince Aug 11, 2025 Accepting new patients
Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey Radiation Oncology CurrentSince Aug 11, 2025 Accepting new patients
Memorial Radiation Oncology Group Radiation Oncology CurrentSince Aug 11, 2025 Accepting new patients

Locations

136 Mountainview Blvd
Basking Ridge, NJ 07920
Phone (908) 542-3000

480 Red Hill Rd
Middletown, NJ 07748
Phone (908) 542-3007

225 Summit Ave
Montvale, NJ 07645
Phone (908) 542-3336

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

Networks

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

Organizations & group practices 4

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 5

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1992333025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4039 25TH AVE",
            "address_2": "APT 1",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11103",
            "telephone_number": "646-641-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "212-639-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSLOW",
        "first_name": "CONNOR",
        "middle_name": "JARRETT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "336936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.