DR. JONATHAN DAVID KLONSKY (NPI# 1619130804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619130804 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN DAVID KLONSKY |
| Credential | MD |
| Practice Address |
754 Montauk Hwy West Islip NY 11795 |
| Practice Telephone | 6314220909 |
| Practice Fax Number | 6314226660 |
| Mailing Telephone | 6314220909 |
| Mailing Fax Number | 6314226660 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2014-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 249630 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UHC | 3153792 | 01 | |
| CIGNA | 8223776 | 01 | |
| BCBS | 151TQ1 | 01 | |
| AETNA | 9490348 | 01 |
| Street Address |
754 MONTAUK HWY |
| City | WEST ISLIP |
| State | NY |
| Zip Code | 11795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093733255 | Eli Anker | Surgery | 754 Montauk Hwy, West Islip, NY 11795-4908 | 2006-07-17 |
| 1275784670 | Michael Chu | Surgery | 754 Montauk Hwy, West Islip, NY 11795 | 2008-10-02 |
| 1104094556 | Edward H. Cussatti,m.d., P.C.,llc | Surgery | 754 Montauk Hwy, West Islip, NY 11795-4908 | 2008-02-19 |
| 1588767438 | Eli Anker M.d.,p.c. | Surgery | 754 Montauk Hwy, West Islip, NY 11795-4908 | 2006-09-06 |
| 1992723167 | Doreen Delaney | Physician Assistant | 754 Montauk Hwy, West Islip, NY 11795-4908 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790843 | Aparna Kaleeckal Rajalakshmi | Student in an Organized Health Care Education/Training Program | 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 | 2020-04-28 |
| 1164087375 | South Shore Medical Services Pllc | Physician Assistant | 1175 Montauk Kwy, Suite 6, West Islip, NY 11795 | 2019-05-02 |
| 1841656030 | Asnis Dental Pllc | Dentist | 440 Montauk Highway, West Islip, NY 11795 | 2016-01-05 |
| 1376913731 | Erik Walter | Physician Assistant | 434 Union Blvd, West Islip, NY 11795 | 2015-09-29 |
| 1902202302 | Cathleen Degarmo | Specialist | 524 Everdell Ave, West Islip, NY 11795 | 2014-11-12 |
| 1902201098 | Caitlin Henderson | Nurse Practitioner | 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 | 2014-10-31 |
| 1497182752 | Alyssa C Cervini | Social Worker | 145 Higbie Ln, West Islip, NY 11795 | 2013-10-02 |
| 1174966485 | John George Egner | Specialist | 1 Kennedylane, W Islip, NY 11795 | 2013-04-17 |
| 1902155369 | Timothy George M.d., P.C. | Pediatrics | 239 Higbie Lane, West Islip, NY 11795 | 2012-08-31 |
| 1124387824 | Dawn Marie Coughlin | Speech-Language Pathologist | 50 Cedar Point Drive, West Islip, NY 11795 | 2012-05-15 |
| Find all providers in zip 11795 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720304074 | Timothy Carter | Surgery | 1111 Montauk Hwy Ste 3-3, West Islip, NY 11795-4910 | 2010-04-12 |
| 1053555961 | Sang H Jho | Surgery | 1111 Montauk Hwy Ste 2-2, West Islip, NY 11795-4910 | 2009-04-22 |
| 1275554032 | John W Francfort | Surgery | 580 Union Boulevard, West Islip, NY 11795 | 2006-07-21 |
| 1093733255 | Eli Anker | Surgery | 754 Montauk Hwy, West Islip, NY 11795-4908 | 2006-07-17 |
| 1881628683 | John Mathew Simon | Surgery | 580 Union Blvd, West Islip, NY 11795 | 2006-07-10 |
| 1225068216 | Edward Hugo Cussatti | Surgery | 786 Montauk Highway, West Islip, NY 11795-0070 | 2006-07-04 |
| 1225011331 | Molave Agana Adaniel | Surgery | 510 Montauk Hwy, Suite C, West Islip, NY 11795-4422 | 2005-11-22 |
| 1497376164 | Vr Deangelis Mdpc & Rt Domingo Mdpc | Surgery | 786 Montauk Hwy, West Islip, NY 11795-4926 | 2020-05-04 |
| 1467087627 | Sj Surgery of Ny, PC | Surgery | 1111 Montauk Hwy Ste 2-2, West Islip, NY 11795-4910 | 2020-03-09 |
| 1235649708 | Arnbjorn Wollebaek Toset Md PC | Surgery | 786 Montauk Hwy, West Islip, NY 11795-4926 | 2017-10-10 |
| Find all providers in WEST ISLIP | ||||
| City | WEST ISLIP |
| Zip Code | 11795 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.