Individual provider Active NPI

Richard Novitch, M.D.

  • Pulmonary Disease Physician
  • Bronx, NY
National Provider Identifier
1194785550
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
160569 Issued in NY
Practice address
199 Mount Eden Pkwy
Bronx, NY 10457-7703
Phone
(718) 992-7669
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 160569 NY
Pulmonary Disease Physician 207RP1001X 160569 NY Primary

Addresses

Primary practice location

199 Mount Eden Pkwy
Bronx, NY 10457-7703

Mailing address

1276 Fulton Ave
Bronx, NY 10456-3402

Other identifiers 1

IdentifierTypeStateIssuer
160569OtherNYSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100209000300 NY Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 2163565433 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronxcare Health SystemGroup PAC ID 3870404429, 335 clinicians

Practice addresses (Care Compare)

1650 Grand Concourse
Bronx, NY 10457-7606

199 Mount Eden Pkwy
Bronx, NY 10457-7703

199 Mount Eden Pkwy 3
Bronx Lebanon Ambulatory Care
Bronx, NY 10457-7703
Phone (718) 992-7669

199 Mount Eden Pkwy 3Rd
Bronx Lebanon Ambulatory Care
Bronx, NY 10457-7703
Phone (718) 992-7669

199 Mount Eden Pkwy Floor
3 Bronx Lebanon Healthandwellness Center
Bronx, NY 10457-7703
Phone (718) 992-7669

Hospital & facility affiliations

  • Bronxcare Hospital Center Hospital, Bronx, NY, CCN 330009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160569NYMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronxcare Health System CurrentSince Mar 1, 2022 Accepting new patients
The Winifred Masterson Burke Rehabilitation Hospital Current Accepting new patients
Montefiore Medical Center CurrentSince Jan 1, 2018 Accepting new patients
Montefiore Medical Center Pulmonary Disease CurrentSince Jan 1, 2018 Accepting new patients
The Winifred Masterson Burke Rehabilitation Hospital CurrentSince Oct 22, 1984 Accepting new patients
Bronxcare Health System CurrentSince Mar 1, 2022 Accepting new patients
Winifred Masterson Burke Rehabilitation Hospital CurrentSince Oct 22, 1984 Accepting new patients
Bronxcare Health System Past Accepting new patients
Weill Medical College of Cornell University Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000

785 Mamaroneck Ave
White Plains, NY 10605
Phone (914) 597-2257

Networks

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

Organizations & group practices 9

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 1

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1194785550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 FULTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MOUNT EDEN PKWY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577703",
            "telephone_number": "718-992-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVITCH",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "160569",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "160569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "160569",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.