Organization Active NPI

Dinovitser Medical PLLC

  • Internal Medicine Physician
  • Ellenville, NY
National Provider Identifier
1720420235
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
262529 Issued in NY
Legal business name
DINOVITSER MEDICAL PLLC
Practice address
29 N Main St
Ellenville, NY 12428-1082
Phone
(845) 798-5244
Fax
(866) 788-0859
NPI assigned
Jul 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Dr. Jay Dinovitser, D.O.
Title
Owner
Phone
(646) 400-2482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 262529 NY Primary

Addresses

Primary practice location

29 N Main St
Ellenville, NY 12428-1082

Mailing address

PO Box 201
South Fallsburg, NY 12779-0201
Phone (646) 400-2482

National Provider Directory

National Provider Directory

Locations

1001 Route 70
Toms River, NJ 08755
Phone (845) 798-5244

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1720420235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201",
            "city": "SOUTH FALLSBURG",
            "state": "NY",
            "postal_code": "127790201",
            "telephone_number": "646-400-2482",
            "fax_number": "866-788-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 N MAIN ST",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124281082",
            "telephone_number": "845-798-5244",
            "fax_number": "866-788-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DINOVITSER MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "DINOVITSER",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-400-2482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "262529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.