Michael Konstantinovsky, | |
1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | |
(732) 828-3000 | |
Not Available |
Full Name | Michael Konstantinovsky |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1 Robert Wood Johnson Pl, New Brunswick, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1447909304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 686170 (New York) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 26NJ01331800 (New Jersey) | Primary |
Entity Name | North Shore - Lij Anesthesiology, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417401266 PECOS PAC ID: 1153602453 Enrollment ID: O20161228001498 |
Mailing Address | Practice Location Address |
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Michael Konstantinovsky, 115 Erika Loop, Staten Island, NY 10312-6660 Ph: (917) 575-7815 | Michael Konstantinovsky, 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 Ph: (732) 828-3000 |
Mrs. Hosana Razon Tordecilla, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901 Phone: 732-828-3000 | |
Mrs. Christa Joy Montero Villaluna, DNP, CRNA/APN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 125 Paterson St # 3100, New Brunswick, NJ 08901 Phone: 732-235-6155 | |
Zlata Polyaeva, CRNA, APRN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901 Phone: 732-828-3000 | |
Mariah Mcgrory, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901 Phone: 732-235-7827 | |
Susan Anderson, R.N. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 125 Paterson St, Cab 3100, New Brunswick, NJ 08901 Phone: 718-666-1342 | |
Claire Latourette, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 125 Paterson St # 3100, New Brunswick, NJ 08901 Phone: 732-937-8841 | |
Amy W. Crisp, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901 Phone: 732-937-8841 Fax: 732-418-8492 |