Active NPI
Roy I Davidovitch, M.D.
- Orthopaedic Surgery Physician
- New York, NY
National Provider Identifier
1619952801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 233551
- 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
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 |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 233551 | NY | MD | Orthopaedic Trauma Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1982166187
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1184670465
Orthopaedic Surgery
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.