Individual provider Active NPI

Alex Novogrudsky, M.D.

  • Gastroenterology Physician
  • Great Neck, NY
National Provider Identifier
1457523615
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
226920 Issued in NY
Practice address
233 E Shore Rd
Suite 101
Great Neck, NY 11023-2433
Phone
(516) 487-2444
Fax
(516) 487-2446
NPI assigned
Mar 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 226920 NY Primary

Addresses

Primary practice location

233 E Shore Rd
Suite 101
Great Neck, NY 11023-2433

Mailing address

233 E Shore Rd
Suite 101
Great Neck, NY 11023-2433
Phone (516) 487-2444

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anovogrudsky299427@nyumc.direct-ci.com

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
I20040817000399 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 3476526526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
New York University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923

1991 Marcus Ave
Suite 101
New Hyde Park, NY 11042-2058
Phone (516) 365-4949

259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600

9777 Queens Blvd
Rego Park, NY 11374-3335
Phone (718) 261-9100

9785 Queens Blvd
Rego Park, NY 11374-3319
Phone (718) 261-9100

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy119
Upper gastrointestinal (GI) endoscopy for acid reflux123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226920NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Gastroenterology CurrentSince Jun 1, 2019 Accepting new patients
New York University CurrentSince Jun 1, 2019 Accepting new patients

Locations

1991 Marcus Ave
Ste 101
New Hyde Park, NY 11042
Phone (516) 365-3394

9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Networks

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

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1457523615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E SHORE RD",
            "address_2": "SUITE 101",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232433",
            "telephone_number": "516-487-2444",
            "fax_number": "516-487-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E SHORE RD",
            "address_2": "SUITE 101",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232433",
            "telephone_number": "516-487-2444",
            "fax_number": "516-487-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOGRUDSKY",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "226920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anovogrudsky299427@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "1991 Marcus Ave",
            "city": "New Hyde Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110422057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.