Individual provider Active NPI

C. Michael Knee, M.D.

  • Specialist
  • Midland Park, NJ
National Provider Identifier
1225123961
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA03716000 Issued in NJ
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

Updated by the provider on Aug 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3058905MedicaidNJ
1028498OtherNJHORIZON MERCY OFFICE
222379156OtherNJTAX I.D.
90000053401OtherNJAMERICHOICE OFFICE
01077794100OtherNJAMERICHOICE ST. JOSEPH'S
370017079OtherNJMEDICARE RAILROAD
49705OtherNJAETNA
10764OtherNJAMERIGROUP-AMERICAID
P1225478OtherNJOXFORD
HNF11542OtherNJHEALTH NET

Other names 1

  • Dr. C. Michael Knee Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202000323 NJ Practitioner - RheumatologyPractitioner - Internal Medicine 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

LicenseStateTypeSpecialty
25MA03716000NJMDSpecialist

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.