DR. SCOTT JONATHAN KOENIG (NPI# 1003076365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003076365 |
| Entity Type | Individual |
| Full Name | DR. SCOTT JONATHAN KOENIG |
| Credential | MD |
| Practice Address |
45 Crossways Park Dr W Woodbury NY 11797-2002 |
| Mailing Address |
1101 Stewart Ave Ste 100n Garden City NY 11530-4892 |
| Practice Telephone | 5165362800 |
| Practice Fax Number | 5169924637 |
| Mailing Telephone | 5165362800 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2018-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
273954 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902148307 | Scott Koenig | Allergy & Immunology | 9640 Medical Center Dr, Rockville, MD 20850-3368 | 2013-03-23 |
| 1902330699 | Scott Koenig II | Student in an Organized Health Care Education/Training Program | 110 S Paca St, Department of Orthopaedics Sixth Floor, Baltimore, MD 21201-1642 | 2017-04-19 |
| 1861728487 | Scott D Koenig | Psychologist | 3262 Holiday Ct, Suite 220, La Jolla, CA 92037-0026 | 2009-11-02 |
| 1114965639 | Scott Charles Koenig | Genetic Counselor, MS | 2205 Phyllis St, Bentonville, AR 72712-6490 | 2006-06-04 |
| Street Address |
45 CROSSWAYS PARK DR W |
| City | WOODBURY |
| State | NY |
| Zip Code | 11797-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053415448 | Neal Smith | Orthopaedic Surgery | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2006-09-07 |
| 1235757642 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | 45 Crossways Park Dr W, Woodbury, NY 11797-2002 | 2020-07-12 |
| 1366942609 | North Shore-lij Cardiovascular Medicine PC | Physician Assistant | 45 Crossways Park Dr W, Woodbury, NY 11797-2002 | 2018-02-13 |
| 1689020273 | Heather Mitchell | Specialist | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2016-05-12 |
| 1124490750 | Jessica Dizinno | Physician Assistant | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2015-10-22 |
| 1578934352 | Orlin and Cohen Orthopedic Associates, LLP | Specialist | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2015-10-19 |
| 1790068989 | Leslie Ann Davis | Physician Assistant | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2011-09-23 |
| 1770889990 | Jonathan D Krystal | Specialist | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2011-02-04 |
| 1679897060 | Jacqueline Marjorie Lichtenstein | Physician Assistant | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2010-03-15 |
| 1457581639 | Shyam Vekaria | Specialist | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2009-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480757 | Melissa Beth Goldstein | Social Worker | 69 Aspen Drive West, Woodbury, NY 11797 | 2020-06-03 |
| 1023654985 | Stephanie Silberman | Social Worker | 136 Woodbury Rd Ste 103, Woodbury, NY 11797 | 2019-11-25 |
| 1225692304 | Patricia L Topper | Technician/Technologist | Optics Plus, 8285 Jericho Tpke, Woodbury, NY 11797 | 2019-04-24 |
| 1972040715 | Vicki Stogiannos | Counselor | 136 Woodbury Rd Ste L4, Woodbury, NY 11797 | 2017-01-31 |
| 1801225917 | Melissa Messer | Early Intervention Provider Agency | 108 Chestnut Lane, Woodbury, NY 11797 | 2013-11-08 |
| 1205174497 | Town Total Health, LLC | Pharmacy | 415 Crossways Park Drive, Suite A, Woodbury, NY 11797 | 2013-01-22 |
| 1750644878 | Shahrzad Bagheri | Specialist | 322 Anchorage Drive, Woodbury, Woodbury, New York, NY 11797 | 2012-06-22 |
| 1700171865 | Town Total Compounding Centers, LLC | Pharmacy | 415 Crossways Park Dr, Suite B, Woodbury, NY 11797 | 2011-06-16 |
| 1023316247 | Marnie Marissa Morabito | Speech-Language Pathologist | 72 Southwoods Road, Woodbury, NY 11797 | 2011-03-11 |
| 1114229838 | Malcolm Berger | Physical Therapy Assistant | 122 Southwoods Rd, Woodbury, NY 11797 | 2010-12-01 |
| Find all providers in zip 11797 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942498225 | Tracy D Rupke | Orthopaedic Surgery | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424621 | Scott Jacob Ellis Md Pllc | Orthopaedic Surgery | 523 E 72nd St Fl 5, New York, NY 10021-4099 | 2020-10-16 |
| 1013579580 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 222 E Middle Country Rd Ste 108, Smithtown, NY 11787-2814 | 2019-07-03 |
| 1881119303 | Ashraf Maher Fansa | Orthopaedic Surgery | Hospital for Special Surgery Academic Training, 535 E 70th St, New York, NY 10021 | 2017-08-05 |
| 1033667779 | Foot & Ankle Orthopedic PC | Orthopaedic Surgery | 43 Robbins Dr, E Williston, NY 11596-2009 | 2016-09-12 |
| 1245330885 | Jessica B Gallina | Orthopaedic Surgery | 240 Central Park So, Ste 2-0, New York, NY 10019 | 2006-09-24 |
| 1902913791 | John G. Kennedy | Orthopaedic Surgery | 171 Delancey St Ste 210, New York, NY 10002-3411 | 2006-08-25 |
| 1912924713 | Interlakes Orthopaedic Surgery,pc | Orthopaedic Surgery | 293 W North St, Geneva, NY 14456-1530 | 2006-07-16 |
| 1730132432 | Steven C. Sheskier | Orthopaedic Surgery | 95 University Pl, 8th Floor, New York, NY 10003-4515 | 2006-05-17 |
| 1376537985 | Jaideep Chopra | Orthopaedic Surgery | 1324 Bergen St, Brooklyn, NY 11213-1530 | 2005-09-09 |
| 1093709610 | Sergine Desrosiers | Orthopaedic Surgery | 613 Throop Ave, Brooklyn, NY 11216-2522 | 2005-09-09 |
| Find all providers with the same taxonomy | ||||
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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.