Individual provider Active NPI

Roy I Davidovitch, M.D.

  • Orthopaedic Surgery Physician
  • New York, NY
National Provider Identifier
1619952801
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
233551 Issued in NY
Practice address
485 Madison Ave FL 8
New York, NY 10022-5803
Phone
(917) 594-4447
Fax
(646) 974-6989
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 233551 NY
Orthopaedic Surgery Physician 207X00000X 233551 NY Primary

Addresses

Primary practice location

485 Madison Ave FL 8
New York, NY 10022-5803

Mailing address

PO Box 3109
New York, NY 10163-3109
Phone (917) 594-4447

Other practice location 1

301 E 17th St
Suite 1402
New York, NY 10003-3804
Phone (212) 598-2303

Other practice location 2

485 Madison Ave Fl 8
New York, NY 10022
Phone (917) 594-4447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2019 through Apr 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233551NYMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roy I Davidovitch MD PLLC Orthopaedic Surgery Past Accepting new patients
TJH Medical Services, P.C. Orthopaedic Surgery Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1619952801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3109",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101633109",
            "telephone_number": "917-594-4447",
            "fax_number": "646-974-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 MADISON AVE FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225803",
            "telephone_number": "917-594-4447",
            "fax_number": "646-974-6989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E 17th St",
            "address_2": "Suite 1402",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033804",
            "country_code": "US",
            "telephone_number": "212-598-2303",
            "fax_number": "212-598-6727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "485 Madison Ave Fl 8",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10022",
            "country_code": "US",
            "telephone_number": "917-594-4447",
            "fax_number": "646-974-6989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDOVITCH",
        "first_name": "ROY",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NY",
            "license": "233551",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "233551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.