Michael S Krivitsky DO PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MICHAEL S KRIVITSKY DO PLLC

Practice address

22731 Newman St Ste 120
Dearborn, MI 48124-2043

Phone

(248) 420-7389

NPI assigned

Nov 17, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Michael S Krivitsky, DO

Title

Physician

Phone

(248) 420-7389

Specialties & licenses 1

Addresses

Other names 1

• Michael S Krivitsky DO PLLC Doing business as

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1083371710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 MAURA LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233628",
            "telephone_number": "248-420-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22731 NEWMAN ST STE 120",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242043",
            "telephone_number": "248-420-7389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4724 Maura Ln",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483233628",
            "country_code": "US",
            "telephone_number": "248-420-7389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL S KRIVITSKY DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "KRIVITSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-420-7389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael S Krivitsky DO PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michael S Krivitsky DO PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Noor Mezahi
• Ali Mezher, OTR/L
• Mi Body Contour
• Mi Trusted Care RX Inc
• Taslima Miah, OTR/L
• Michael T Goldfarb MD PC
• Michael Younes OD PC
• Jeremy Michaelson
• Ronald Michaelson
• Rebecca Marie Michalski

• Clinic/Center in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.