Active NPI
Michael Novogrodsky, PT, DPT
- Physical Therapist
- Monticello, NY
National Provider Identifier
1710122650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029537-1
- Practice address
- 504 Southwoods Dr
Monticello, NY 12701-7231 - Phone
- (845) 794-6037
- Fax
- (845) 794-4429
- NPI assigned
- Dec 5, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 029537-1 | NY | Primary |
Addresses
Primary practice location
504 Southwoods Dr
Monticello, NY 12701-7231
Mailing address
504 Southwoods Dr
Monticello, NY 12701-7231
Phone (845) 794-6037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029537-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Friends Services Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- Monticello, NY
- NPI 1710130745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230249600000",
"number": "1710122650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 SOUTHWOODS DR",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127017231",
"telephone_number": "845-794-6037",
"fax_number": "845-794-4429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 SOUTHWOODS DR",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127017231",
"telephone_number": "845-794-6037",
"fax_number": "845-794-4429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVOGRODSKY",
"first_name": "MICHAEL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-05",
"last_updated": "2008-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029537-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monticello, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.