Individual provider Active NPI

Marina A Strizhevsky, DO

  • Endocrinology, Diabetes & Metabolism Physician
  • Lyndhurst, NJ
National Provider Identifier
1235386574
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
25MB09392400 Issued in NJ
Practice address
612 Rutherford Ave
Lyndhurst, NJ 07071-1217
Phone
(201) 460-0063
NPI assigned
Aug 19, 2008
Last updated
Mar 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 242532 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 25MB09392400 NJ Primary

Addresses

Primary practice location

612 Rutherford Ave
Lyndhurst, NJ 07071-1217

Mailing address

3-14 Summit Avenue
Fair Lawn, NJ 07410

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
I20140127000293 NJ Practitioner - Endocrinology 0143376947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BHMG - United MedicalGroup PAC ID 5193949865, 28 clinicians

Practice addresses (Care Compare)

533 Lexington Ave
Clifton, NJ 07011-1923
Phone (973) 546-6844

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242532NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHMG - United Medical Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
Rockland Endocrine & Diabetes Services PC PastSince Jul 5, 2005 Accepting new patients

Locations

988 Broadway
Ste 201
Bayonne, NJ 07002
Phone (201) 339-6111

300 Parker Ave
Clifton, NJ 07011
Phone (973) 546-6844

533 Lexington Ave
Clifton, NJ 07011
Phone (973) 546-6844

612 Rutherford Ave
Lyndhurst, NJ 07071
Phone (200) 460-0063

Interoperability endpoints

  • Direct secure messaging: mstrizhevsky123904@epicdirect.rwjbh.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1235386574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3-14 SUMMIT AVENUE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 RUTHERFORD AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711217",
            "telephone_number": "201-460-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRIZHEVSKY",
        "first_name": "MARINA",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "242532",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MB09392400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

Verify at the official NPI Registry.