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B KONNIKOW PHYSICIAN PC
NPI 1083887913
Psychiatry & Neurology - Psychiatry in Forest Hills, NY

Active since April 11, 2008
11020 71ST RD, #104, FOREST HILLS, NY 11375(718) 263-3355(718) 263-3373 Get Directions Write a Review

NPPES record last updated: April 14, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About B Konnikow Physician Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

B KONNIKOW PHYSICIAN PC (NPI 1083887913) is a healthcare organization registered as a psychiatry in Forest Hills, New York and active in the NPI registry since April 2008. The organization lists Boris A Konnikow, President, as its authorized official.

NPPES Registry Identity

NPI1083887913
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameB KONNIKOW PHYSICIAN PC
Location Address11020 71ST RD, #104Forest Hills, NY 11375-4945
Mailing Address7636 113th St, 5bForest Hills, NY 11375-6513 · (718) 263-3355
Phone(718) 263-3355
Fax(718) 263-3373
Organization SubpartNo
Authorized OfficialBoris A KonnikowPresident · (718) 263-3355
Enumeration DateApril 11, 2008
Last NPPES UpdateApril 14, 2008
✔ NPI 1083887913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 204106
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
11020 71ST RD, Forest Hills, NY 11375
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Other Identifiers 1

Medicare PIN05877NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

B Konnikow Physician Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to B Konnikow Physician PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Boris Konnikow, MD PHD
Psychiatry
NPI 1841281540
11020 71ST RD SUITE 104
Forest Hills, NY 11375
(718) 263-3355
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is B Konnikow Physician PC's NPI number?

The NPI number for B Konnikow Physician PC is 1083887913. It was assigned to this organization in the NPPES registry on April 11, 2008.

Where is B Konnikow Physician PC located?

B Konnikow Physician PC is located at 11020 71st Rd #104, Forest Hills, NY 11375. The listed phone number is (718) 263-3355.

What is B Konnikow Physician PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is B Konnikow Physician PC enrolled in Medicare?

Yes. B Konnikow Physician PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through B Konnikow Physician PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to B Konnikow Physician PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for B Konnikow Physician PC was last updated on April 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.