Individual provider Active NPI

David Radvinsky, M.D.

  • Surgery Physician
  • Teaneck, NJ
National Provider Identifier
1003107178
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
283045 Issued in NY
Practice address
741 Teaneck Rd Ste B
Teaneck, NJ 07666-4243
Phone
(201) 833-2888
Fax
(201) 833-1010
NPI assigned
Apr 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 283045 NY Primary

Addresses

Primary practice location

741 Teaneck Rd Ste B
Teaneck, NJ 07666-4243

Mailing address

741 Teaneck Rd Ste B
Teaneck, NJ 07666-4243
Phone (201) 833-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171010000222 NJ Practitioner - General Surgery 5890088843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9 Post Rd
Suite M9
Oakland, NJ 07436-1615
Phone (201) 833-2888

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)18
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Surgical Partners, LLC Surgery CurrentSince Mar 8, 2023 Accepting new patients
Heritage Laparoscopy Acute Care Surgery PC Surgery CurrentSince Aug 26, 2019 Accepting new patients

Locations

9 Post Rd
Ste M9
Oakland, NJ 07436
Phone (201) 833-2888

9 Post Rd
Ste M7
Oakland, NJ 07436
Phone (201) 337-9498

741 Teaneck Rd
Ste B
Teaneck, NJ 07666
Phone (201) 833-2888

261 Old Hook Rd
Westwood, NJ 07675
Phone (201) 263-0101

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003107178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 TEANECK RD STE B",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664243",
            "telephone_number": "201-833-2888",
            "fax_number": "201-833-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 TEANECK RD STE B",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664243",
            "telephone_number": "201-833-2888",
            "fax_number": "201-833-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADVINSKY",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "283045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.