Individual provider Active NPI

George Traykovski, MD

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1003815432
Registry record updated Aug 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
NY125331 Issued in NY
Practice address
80 Central Park W Apt 9F
New York, NY 10023-5205
Phone
(212) 877-2016
Fax
(212) 877-5609
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NY125331 NY Primary

Addresses

Primary practice location

80 Central Park W Apt 9F
New York, NY 10023-5205

Mailing address

80 Central Park W Apt 9F
New York, NY 10023-5205
Phone (212) 877-2016

Other identifiers 1

IdentifierTypeStateIssuer
00234675MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NY125331NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent'S Midtown Hospital Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314489600000",
    "number": "1003815432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 CENTRAL PARK W APT 9F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235205",
            "telephone_number": "212-877-2016",
            "fax_number": "212-877-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CENTRAL PARK W APT 9F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235205",
            "telephone_number": "212-877-2016",
            "fax_number": "212-877-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYKOVSKI",
        "first_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2011-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "NY125331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00234675",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.