Individual provider Active NPI

John P Cvitkovic, PA-C, PT, C.PED, CFO

  • Orthotist
  • Bronx, NY
National Provider Identifier
1558349779
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
272438120OtherNYAGEWELL HEALTH PLAN
272438120OtherNYMULTIPLAN-GEHA
0401995OtherNYAETNA- LOCAL 1199/ORTHONET
272438120OtherNYMULTI-PLAN
272438120OtherNYPOMCO
P4162456OtherNYOPTUM HEALTH PHYSICAL THERAPY- OXFORD HEALTH PLAN-FREEDOM/LIBERTY
272438120OtherNYMAGNACARE
616130500OtherNYFECA/ OFFICE OF FEDERAL WORKERS COMPENSATION
Q622E1OtherNYEMPIRE BLUE CROSS
03021730MedicaidNY
0401995OtherNYAETNA-ORTHONET
272438120OtherNYAMERIGROUP HEALTH PLAN
0000180974616OtherNYOPTUM HEALTH PHYSICAL THERAPY-UNITED HEALTHCARE
272438120OtherNYHUDSON HEALTH PLAN
703204OtherNYOPTUM HEALTH PHYSICAL THERAPY- EMPIRE STATE AND ORANGE COUNTY
0401995OtherNYCIGNA HEALTHCARE-ORTHONET
11556837OtherCAQH
272438120OtherNYHUMANA HEALTH PLAN
272438120OtherNYVNS CHOICE HEALTH PLAN
3017337OtherNYMVP
272438120OtherNYAFFINITY HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101028000069 NY Practitioner - Physical Therapist in Private Practice 4082600333 Reassigns benefits to 2 organizations
I20231130003883 NJ Practitioner - Physical Therapist in Private Practice 4082600333 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CPED1198DEMDPedorthist
CFO02565DEMDOrthotic Fitter
019369NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Aug 1, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Aug 1, 2023 Accepting new patients
Scoli3D Spine & Scoliosis Center Professional Corporation Orthotist Current Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Jun 12, 2023 Accepting new patients
O & P Plus, LLC Orthotist PastSince Oct 27, 2010 Accepting new patients
One on One Physical Therapy Services PLLC Physical Therapist PastSince Jun 12, 2023 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

  • Direct secure messaging: 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.

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

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.

Verify at the official NPI Registry.