Individual provider Active NPI

Roy G Kulick, MD

  • Orthopaedic Hand Surgery Physician
  • Bronx, NY
National Provider Identifier
1285719583
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
123619 Issued in NY
Practice address
1250 Water Place
11TH Floor
Bronx, NY 10461
Phone
(347) 577-4434
Fax
(347) 577-4419
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 123619 NY
Orthopaedic Hand Surgery Physician 207XS0106X 123619 NY Primary

Addresses

Primary practice location

1250 Water Place
11TH Floor
Bronx, NY 10461

Mailing address

875 5TH Ave
Apt. 3E
New York, NY 10065-4952
Phone (347) 577-4472

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
I20040719000970 NY Practitioner - Orthopedic Surgery 1557340965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
JS Weill Medical College, Cornell University, 1973
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123619NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Orthopaedic Surgery CurrentSince Dec 1, 2013 Accepting new patients
Montefiore Medical Center CurrentSince Dec 1, 2013 Accepting new patients
Winifred Masterson Burke Rehabilitation Hospital Past Accepting new patients

Locations

1250 Waters Pl
Fl 10
Bronx, NY 10461
Phone (347) 577-4484

1500 Blondell Ave
Bronx, NY 10461
Phone (718) 405-8410

1695 Eastchester Rd
Bronx, NY 10461
Phone (718) 405-8020

1250 Waters Pl
Fl 11
Bronx, NY 10461
Phone (347) 577-4410

1250 Waters Pl
Bronx, NY 10461
Phone (718) 409-9444

111 E 210th St
Bronx, NY 10467

1180 Morris Park Ave
Bronx, NY 10461
Phone (718) 829-1500

Church St Sta
New York, NY 10261
Phone (718) 920-4707

Networks

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

Interoperability endpoints

  • Direct secure messaging: rkulick@montefioredirect.com

Organizations & group practices 3

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1285719583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 5TH AVE",
            "address_2": "APT. 3E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654952",
            "telephone_number": "347-577-4472",
            "fax_number": "347-577-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WATER PLACE",
            "address_2": "11TH FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "347-577-4434",
            "fax_number": "347-577-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULICK",
        "first_name": "ROY",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "123619",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NY",
            "license": "123619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.