Individual provider Active NPI

Michael Robert Jurkowich, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Port Washington, NY
National Provider Identifier
1184868531
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
270951 Issued in NY
Practice address
1440 Port Washington Blvd
Port Washington, NY 11050-2412
Phone
(702) 899-0595
Fax
(702) 977-1496
NPI assigned
Apr 29, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 270951 NY
Physical Medicine & Rehabilitation Physician 208100000X 270951 NY Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 270951 NY

Addresses

Primary practice location

1440 Port Washington Blvd
Port Washington, NY 11050-2412

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (702) 899-0595

Other practice location 1

801 W 190th St
New York, NY 10040-3802
Phone (702) 899-0595

Other practice location 2

525 E 68th St # F-1600
New York, NY 10065-4870
Phone (212) 746-1500

Other identifiers 1

IdentifierTypeStateIssuer
04052324MedicaidNY

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address ghp9006@direct.nyp.org Direct
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131213000103 AL Practitioner - Physical Medicine and Rehabilitation 5395972541 Reassigns benefits to 1 organization
I20150120001426 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 5395972541 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Wellness Medical PCGroup PAC ID 2567786486, 5 clinicians

Practice addresses (Care Compare)

1615 Northern Blvd
GR1
Manhasset, NY 11030-3008
Phone (516) 888-7614

378 Syosset Woodbury Rd
Woodbury, NY 11797-1200
Phone (201) 308-8995

551 Madison Ave
Suite 1201
New York, NY 10022-3390
Phone (212) 737-9000

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
73.72
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
270951NYMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Orthopedic Spine & Sports Medicine Associates P C Physical Medicine & Rehabilitation CurrentSince Oct 1, 2013 Accepting new patients
Greater Ny Neurology PC CurrentSince Nov 19, 2014 Accepting new patients
John Akhnoukh MD PC CurrentSince Mar 10, 2025 Accepting new patients
Brooklyn Comprehensive Care Center Inc. CurrentSince Jul 1, 2021 Accepting new patients
Interventional Physical Medicine and Rehab of New York, PLLC Physical Medicine & Rehabilitation CurrentSince Jul 1, 2024 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Feb 5, 2024 Accepting new patients
New York Queens Medicine and Surgery, P.C. Current Accepting new patients
US Rehabilitation Medicine Consulting, PLLC Physical Medicine & Rehabilitation CurrentSince Dec 17, 2024 Accepting new patients
SJ All Medical PC CurrentSince Jan 1, 2015 Accepting new patients
Complete Wellness Medical PC Physical Medicine & Rehabilitation CurrentSince Mar 7, 2025 Accepting new patients
Kumar Medical Pain Management PC Physical Medicine & Rehabilitation Past Accepting new patients
Pelham Physical Medicine Inc Past Accepting new patients
Weill Cornell University Medical College PastSince Feb 18, 2024 Accepting new patients
Brian Mayrsohn MD PLLC PastSince Mar 7, 2025 Accepting new patients
Madison Medical Practice P.C. Past Accepting new patients

Locations (25 of 27)

52 Medical Park Dr E
Ste 115
Birmingham, AL 35235
Phone (205) 838-3900

1801 Gadsden Hwy
Birmingham, AL 35235
Phone (205) 228-7600

53 Brentwood Rd
Ste F
Bay Shore, NY 11706
Phone (516) 888-7614

4564 Francis Lewis Blvd
Ste 200
Bayside, NY 11361
Phone (516) 888-7614

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

2241 New Haven Ave
Far Rockaway, NY 11691
Phone (516) 888-7614

13656 39th Ave
Ste 2FL
Flushing, NY 11354
Phone (718) 886-7014

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

15 Saint Pauls Pl
Great Neck Plaza, NY 11021
Phone (516) 466-3001

3000 Hempstead Tpke
Ste 112
Levittown, NY 11756
Phone (516) 888-7614

970 Wellwood Ave
Lindenhurst, NY 11757
Phone (631) 225-1289

1615 Northern Blvd
Ste GR4
Manhasset, NY 11030
Phone (516) 888-7614

1615 Northern Blvd
#1
Manhasset, NY 11030
Phone (516) 888-7614

1615 Northern Blvd
Ste GR1
Manhasset, NY 11030
Phone (516) 279-2616

1615 Northern Blvd
#4
Manhasset, NY 11030

551 Madison Ave
Ste 1201
New York, NY 10022
Phone (212) 737-0000

274 Madison Ave
Rm 304
New York, NY 10016
Phone (212) 349-2787

525 E 68th St
#F1600
New York, NY 10065
Phone (212) 746-1500

225 Broadway
Ste 705
New York, NY 10007
Phone (212) 349-2787

25 Schoenfeld Blvd
Patchogue, NY 11772
Phone (516) 888-7614

146A Manetto Hill Rd
Ste 100
Plainview, NY 11803
Phone (516) 200-0025

139 N Central Ave
Ste 2
Valley Stream, NY 11580
Phone (516) 887-8808

140 W Merrick Rd
Valley Stream, NY 11580
Phone (516) 888-7614

139 N Central Ave
Ste 3
Valley Stream, NY 11580
Phone (516) 887-0020

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFJEDD

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1184868531",
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            "country_name": "United States",
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            "city": "NEW YORK",
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            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502412",
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        }
    ],
    "practiceLocations": [
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            "address_1": "801 W 190th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100403802",
            "country_code": "US",
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            "postal_code": "100654870",
            "country_code": "US",
            "telephone_number": "212-746-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JURKOWICH",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-29",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "270951",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "270951",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "270951",
            "primary": false
        }
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    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04052324",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ghp9006@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "13656 39th Ave Fl 2",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113545598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "13656 39th Ave Fl 2",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
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            "country_name": "United States",
            "address_type": "DOM"
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        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
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            "address_1": "13656 39th Ave Fl 2",
            "city": "Flushing",
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            "address_type": "DOM"
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    ],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

Verify at the official NPI Registry.