Active NPI
C. Michael Knee, M.D.
- Specialist
- Midland Park, NJ
National Provider Identifier
1225123961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA03716000
- Practice address
- 44 Godwin Ave
Suite 103
Midland Park, NJ 07432-1969 - Phone
- (201) 444-5004
- Fax
- (201) 670-0356
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA03716000 | NJ | Primary |
Addresses
Primary practice location
44 Godwin Ave
Suite 103
Midland Park, NJ 07432-1969
Mailing address
44 Godwin Ave
Suite 103
Midland Park, NJ 07432-1969
Phone (201) 444-5004
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3058905 | Medicaid | NJ | |
| 1028498 | Other | NJ | HORIZON MERCY OFFICE |
| 222379156 | Other | NJ | TAX I.D. |
| 90000053401 | Other | NJ | AMERICHOICE OFFICE |
| 01077794100 | Other | NJ | AMERICHOICE ST. JOSEPH'S |
| 370017079 | Other | NJ | MEDICARE RAILROAD |
| 49705 | Other | NJ | AETNA |
| 10764 | Other | NJ | AMERIGROUP-AMERICAID |
| P1225478 | Other | NJ | OXFORD |
| HNF11542 | Other | NJ | HEALTH NET |
Other names 1
- Dr. C. Michael Knee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050202000323 | NJ | Practitioner - Rheumatology | 1557312071 | Practice locations: Midland Park, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1971
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
44 Godwin Ave
Suite 103
Midland Park, NJ 07432-1959
Phone (201) 444-5004
44 Godwin Ave
Suite 103
Midland Park, NJ 07432-1969
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03716000 | NJ | MD | Specialist |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kessler Rehabilitation Center
- Rehabilitation Hospital
- West Orange, NJ
- NPI 1013919620
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407888000000",
"number": "1225123961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 GODWIN AVE",
"address_2": "SUITE 103",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "074321969",
"telephone_number": "201-444-5004",
"fax_number": "201-670-0356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 GODWIN AVE",
"address_2": "SUITE 103",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "074321969",
"telephone_number": "201-444-5004",
"fax_number": "201-670-0356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNEE",
"first_name": "C.",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2014-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA03716000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3058905",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON MERCY OFFICE",
"identifier": "1028498",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX I.D.",
"identifier": "222379156",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE OFFICE",
"identifier": "90000053401",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE ST. JOSEPH'S",
"identifier": "01077794100",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "370017079",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "49705",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP-AMERICAID",
"identifier": "10764",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1225478",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "HNF11542",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "C.",
"last_name": "KNEE",
"middle_name": "MICHAEL",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Midland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.