Active NPI
Petr Leonidovich Tsenovoy, MD
- Cardiovascular Disease Physician
- Norwood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA09126700
- Practice address
- 19 Mohawk Ave
Norwood, NJ 07648-2410 - Phone
- (201) 392-3588
- NPI assigned
- Jan 2, 2009
- Last updated
- Aug 19, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA09126700 | NJ | Primary |
| Hospitalist Physician | 208M00000X | 25MA09126700 | NJ |
Addresses
Primary practice location
19 Mohawk Ave
Norwood, NJ 07648-2410
Mailing address
95 Grasslands Rd
New York Med College, Munger Pavilion, Room 253
Valhalla, NY 10595-1652
Phone (914) 493-8373
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
55 Mdwlands Pkwy
Secaucus, NJ 07094-2977
Phone (617) 818-7474
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Hudson Premier Medical PC | Hospitalist | Current | Accepting new patients |
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Tsenovoy Medical PC | Cardiovascular Disease | Current | Accepting new patients |
| A.G. Dikengil, MD, PA | Past | Accepting new patients |
Locations
935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012
38 Meadowlands Pkwy
Ste 205
Secaucus, NJ 07094
Phone (201) 552-2357
55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744
55 Meadowlands Pkwy
Fl 3
Secaucus, NJ 07094
Phone (201) 392-3588
55 Meadowlands Pkwy
Ste 1
Secaucus, NJ 07094
Phone (201) 392-3190
3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974
Organizations & group practices 5
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Secaucus, NJ
- NPI 1548809221
Hospitalist
-
- Cardiovascular Disease Physician
- Secaucus, NJ
- NPI 1881322857
-
dba Riverside Medical Group
- Durable Medical Equipment & Medical Supplies
- Belleville, NJ
- NPI 1255050902
-
- Radiology Clinic/Center
- Lyndhurst, NJ
- NPI 1205992690
Hospital & facility affiliations 2
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": "1230854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1558507178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 GRASSLANDS RD",
"address_2": "NEW YORK MED COLLEGE, MUNGER PAVILION, ROOM 253",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951652",
"telephone_number": "914-493-8373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 MOHAWK AVE",
"city": "NORWOOD",
"state": "NJ",
"postal_code": "076482410",
"telephone_number": "201-392-3588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSENOVOY",
"first_name": "PETR",
"middle_name": "LEONIDOVICH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-02",
"last_updated": "2022-08-19",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA09126700",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NJ",
"license": "25MA09126700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.