Individual provider Active NPI

Eduard Noykhovich, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1053354324
Registry record updated Sep 21, 2009
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Dec 19, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0255321 Issued in NY
Practice address
2365 E 13TH St
2P
Brooklyn, NY 11229-4353
Phone
(347) 262-3915
Fax
(718) 676-5508
NPI assigned
Jun 14, 2006
Last updated
Sep 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0255321 NY Primary

Addresses

Primary practice location

2365 E 13TH St
2P
Brooklyn, NY 11229-4353

Mailing address

2365 E 13TH St
Brooklyn, NY 11229-4353
Phone (347) 262-3915

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. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0255321NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehabilitation Medicine P.C. Past Accepting new patients
Bensonhurst Mega Medical Care PC Past Accepting new patients
Aqua Health Physical Therapy PC Physical Therapist PastSince Jun 27, 2021 Accepting new patients
Aries Chiropractic, P.C. Past Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1053354324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 E 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294353",
            "telephone_number": "347-262-3915",
            "fax_number": "718-676-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 E 13TH ST",
            "address_2": "2P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294353",
            "telephone_number": "347-262-3915",
            "fax_number": "718-676-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOYKHOVICH",
        "first_name": "EDUARD",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0255321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.