| Michael Konstantinovsky, | |
| 
					1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928  | |
| (732) 828-3000 | |
| Not Available | 
| Full Name | Michael Konstantinovsky | 
|---|---|
| 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 | 
|---|---|---|---|
| 1447909304 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 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 | 
|---|---|
| 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 | 
|---|---|
| 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  | |
Laurie Karen Chow,  Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901 Phone: 732-828-3000  | |
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  |