Eitan Novogrodsky, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

315625 Issued in NY

Practice address

3225 Francis Lewis Blvd
Flushing, NY 11358-1922

Phone

(718) 670-1888

NPI assigned

Apr 25, 2017

Last updated

Jun 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

University of California, Geffen School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Main Street Radiology at Bayside LLCGroup PAC ID 5395732671, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jacobi Medical Center Hospital, Bronx, NY, CCN 330127

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: enovogrodsky259760@nychhc.direct-ci.com
• Direct secure messaging: hvm9001@direct.nyp.org

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.

• Main Street Radiology at Bayside LLC

  • Diagnostic Radiology Physician
  • Flushing, NY
  • NPI 1780771634
  Medicare reassignment Care Compare group NPD
• Physician Affiliate Group of New York PC

  • Registered Dietitian
  • New York, NY
  • NPI 1013375526
  Medicare reassignment Care Compare group NPD
• North Shore Hematology Oncology Associates PC

  • Specialist
  • Port Jefferson Station, NY
  • NPI 1396794574
  Medicare reassignment NPD
• Radiology Associates of Main Street PC

  • Diagnostic Radiology Physician
  • Flushing, NY
  • NPI 1265529101
  Medicare reassignment NPD
• Sunset Park Radiology PC

  dba Sunset Park Advanced Imaging

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1629713672
  Medicare reassignment NPD
• Main Street Radiology at Bayside LLC

  • Diagnostic Radiology Physician
  • Jackson Heights, NY
  • NPI 1710395991
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New York City Health and Hospitals Corporation

  dba Jacobi Medical Center

  • General Acute Care Hospital
  • Bronx, NY
  • NPI 1679587679
  Care Compare affiliation

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1649705864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 FRANCIS LEWIS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581922",
            "telephone_number": "718-670-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 FRANCIS LEWIS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581922",
            "telephone_number": "718-670-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOGRODSKY",
        "first_name": "EITAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-25",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "315625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nova Medical PLLC
• Nova Medical PLLC
• Nova Medix Supply LLC
• Novino Pathology, LLC
• Cynthia Novoa, MS,CCC-SLP
• Eliza Noy
• NSC Speech Language Pathology PC
• Atim Ntekim, CRNA
• Number One Adult Daycare
• Martin Nunez Jr.

• Diagnostic Radiology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.

Verify at the official NPI Registry.