NPIMap

Individual provider Active NPI

Naum Meyerovich, M.D

  • Internal Medicine Physician
  • Rego Park, NY
National Provider Identifier
1790750859
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
217870 Issued in NY
Practice address
9811 Queens Blvd
Suite 1E
Rego Park, NY 11374-3323
Phone
(718) 830-0400
Fax
(718) 830-0005
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 217870 NY Primary

Addresses

Primary practice location

9811 Queens Blvd
Suite 1E
Rego Park, NY 11374-3323

Mailing address

764 Plainfield LN
Valley Stream, NY 11581-3607
Phone (516) 791-1727

Other identifiers 1

IdentifierTypeStateIssuer
02086771MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080411000640 NY Practitioner - Internal Medicine 1254418429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meyerovich Medical and Diagnostic PCGroup PAC ID 1456438621, 2 clinicians

Practice addresses (Care Compare)

9811 Queens Blvd
1E
Rego Park, NY 11374-3309
Phone (718) 830-0400

Hospital & facility affiliations

  • Emerest Home Health Care of Long Island Home health agency, Flushing, NY, CCN 337189
  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Shining Star Home Health Care Home health agency, Brooklyn, NY, CCN 337440
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
96.65
Improvement activities
40
Cost
81.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217870NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meyerovich Medical & Diagnostic PC Internal Medicine CurrentSince Jan 2, 2002 Accepting new patients

Locations

9811 Queens Blvd
Ste 1E
Rego Park, NY 11374
Phone (718) 830-0400

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCDFAA

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790750859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 PLAINFIELD LN",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813607",
            "telephone_number": "516-791-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 QUEENS BLVD",
            "address_2": "SUITE 1E",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743323",
            "telephone_number": "718-830-0400",
            "fax_number": "718-830-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYEROVICH",
        "first_name": "NAUM",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "217870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02086771",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.