Active NPI
John P Cvitkovic, PA-C, PT, C.PED, CFO
- Orthotist
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Practice address
- 1650 Grand Concourse
7TH Floor
Bronx, NY 10457-7606 - Phone
- (914) 961-1600
- Fax
- (888) 270-4616
- NPI assigned
- Jan 6, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 008387 | NY | |
| Orthotist | 222Z00000X | NY | Primary | |
| Orthotic Fitter | 225000000X | CFO02565 | DE | |
| Physical Therapist | 225100000X | 019369 | NY | |
| Pedorthist | 224L00000X | CPED1198 | DE |
Addresses
Primary practice location
1650 Grand Concourse
7TH Floor
Bronx, NY 10457-7606
Mailing address
115 Main St
Suite 202
Tuckahoe, NY 10707-2948
Phone (914) 961-1600
Other identifiers 21
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272438120 | Other | NY | AGEWELL HEALTH PLAN |
| 272438120 | Other | NY | MULTIPLAN-GEHA |
| 0401995 | Other | NY | AETNA- LOCAL 1199/ORTHONET |
| 272438120 | Other | NY | MULTI-PLAN |
| 272438120 | Other | NY | POMCO |
| P4162456 | Other | NY | OPTUM HEALTH PHYSICAL THERAPY- OXFORD HEALTH PLAN-FREEDOM/LIBERTY |
| 272438120 | Other | NY | MAGNACARE |
| 616130500 | Other | NY | FECA/ OFFICE OF FEDERAL WORKERS COMPENSATION |
| Q622E1 | Other | NY | EMPIRE BLUE CROSS |
| 03021730 | Medicaid | NY | |
| 0401995 | Other | NY | AETNA-ORTHONET |
| 272438120 | Other | NY | AMERIGROUP HEALTH PLAN |
| 0000180974616 | Other | NY | OPTUM HEALTH PHYSICAL THERAPY-UNITED HEALTHCARE |
| 272438120 | Other | NY | HUDSON HEALTH PLAN |
| 703204 | Other | NY | OPTUM HEALTH PHYSICAL THERAPY- EMPIRE STATE AND ORANGE COUNTY |
| 0401995 | Other | NY | CIGNA HEALTHCARE-ORTHONET |
| 11556837 | Other | CAQH | |
| 272438120 | Other | NY | HUMANA HEALTH PLAN |
| 272438120 | Other | NY | VNS CHOICE HEALTH PLAN |
| 3017337 | Other | NY | MVP |
| 272438120 | Other | NY | AFFINITY HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPED1198 | DE | MD | Pedorthist |
| CFO02565 | DE | MD | Orthotic Fitter |
| 019369 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Scoli3D Spine & Scoliosis Center Professional Corporation | Orthotist | Current | Accepting new patients |
| Jag-One Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| RB Physical and Occupational Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| O & P Plus, LLC | Orthotist | Past | Accepting new patients |
| One on One Physical Therapy Services PLLC | Physical Therapist | Past | Accepting new patients |
Locations
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520
884 Commons Way
Bldg H
Toms River, NJ 08755
Phone (732) 244-7004
622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078
111 E 210th St
Bronx, NY 10467
1650 Grand Concourse
Fl 7
Bronx, NY 10457
Phone (718) 518-5131
4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949
24 Saw Mill River Rd
Ste 204
Hawthorne, NY 10532
Phone (914) 592-9600
231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224
115 Main St
Fl 2
Tuckahoe, NY 10707
115 Main St
Ste 202
Tuckahoe, NY 10707
Phone (914) 961-1010
625 McLean Ave
Yonkers, NY 10705
Phone (914) 423-5000
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jcvitkovic@hiemail.healtheconnections.org
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Physical Therapist
- Brooklyn, NY
- NPI 1790013282
-
- Physical Therapist
- West Orange, NJ
- NPI 1518017144
-
- Physical Therapist
- South Amboy, NJ
- NPI 1255283479
Orthotist
-
- Orthotist
- Tuckahoe, NY
- NPI 1760755961
-
- Orthotist
- Bronx, NY
- NPI 1154649069
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Physical Therapist
- Brooklyn, NY
- NPI 1740423219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1558349779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 MAIN ST",
"address_2": "SUITE 202",
"city": "TUCKAHOE",
"state": "NY",
"postal_code": "107072948",
"telephone_number": "914-961-1600",
"fax_number": "888-270-4616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 GRAND CONCOURSE",
"address_2": "7TH FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "104577606",
"telephone_number": "914-961-1600",
"fax_number": "888-270-4616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CVITKOVIC",
"first_name": "JOHN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "PA-C, PT, C.PED, CFO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "008387",
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "NY",
"license": null,
"primary": true
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "DE",
"license": "CFO02565",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "019369",
"primary": false
},
{
"code": "224L00000X",
"taxonomy_group": "",
"desc": "Pedorthist",
"state": "DE",
"license": "CPED1198",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGEWELL HEALTH PLAN",
"identifier": "272438120",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN-GEHA",
"identifier": "272438120",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA- LOCAL 1199/ORTHONET",
"identifier": "0401995",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTI-PLAN",
"identifier": "272438120",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "POMCO",
"identifier": "272438120",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUM HEALTH PHYSICAL THERAPY- OXFORD HEALTH PLAN-FREEDOM/LIBERTY",
"identifier": "P4162456",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNACARE",
"identifier": "272438120",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FECA/ OFFICE OF FEDERAL WORKERS COMPENSATION",
"identifier": "616130500",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "Q622E1",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03021730",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-ORTHONET",
"identifier": "0401995",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP HEALTH PLAN",
"identifier": "272438120",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUM HEALTH PHYSICAL THERAPY-UNITED HEALTHCARE",
"identifier": "0000180974616",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUDSON HEALTH PLAN",
"identifier": "272438120",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUM HEALTH PHYSICAL THERAPY- EMPIRE STATE AND ORANGE COUNTY",
"identifier": "703204",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE-ORTHONET",
"identifier": "0401995",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11556837",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA HEALTH PLAN",
"identifier": "272438120",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VNS CHOICE HEALTH PLAN",
"identifier": "272438120",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "3017337",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFINITY HEALTH PLAN",
"identifier": "272438120",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
- Robert Cuthel Jr.
- Viola Vincent Cutinha, M.D.
- Christine Lee Cutler, PA
- Taylor Angelina Cutrone
- Monte Shiloh Tabon Cuyacot
- CVS Albany LLC (CVS Pharmacy # 02433)
- CVS Albany LLC (CVS Pharmacy # 07066)
- CVS Albany LLC (CVS Pharmacy #16921)
- CVS Albany LLC (CVS Pharmacy)
- CVS Albany LLC (CVS Pharmacy# 07067)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.