Polat Novruzov, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

2175901 Issued in NY

Practice address

535 2ND Ave
Kips Bay Endoscopy Center
New York, NY 10016

Phone

(212) 889-5477

Fax

(212) 889-0517

NPI assigned

Aug 11, 2006

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

Anesthesiology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kips Bay Anesthesia PCGroup PAC ID 8628432283, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kips Bay Anesthesia PC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1245464924
  Medicare reassignment Care Compare group NPD
• Kips Bay Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • New York, NY
  • NPI 1912909169
  Medicare reassignment NPD
• Valhalla Anesthesia Associates, PC

  • Anesthesiology Physician
  • Valhalla, NY
  • NPI 1124070800
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861403230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 2ND AVE",
            "address_2": "KIPS BAY ENDOSCOPY CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-889-5477",
            "fax_number": "212-889-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 2ND AVE",
            "address_2": "KIPS BAY ENDOSCOPY CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-889-5477",
            "fax_number": "212-889-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVRUZOV",
        "first_name": "POLAT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "2175901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amory Vedran Novoselac, M.D.
• Yelizaveta Lvovna Novoselsky, MD PEDIATRICIAN
• Aleyda Martinez Novotny, LCSW
• Theodore Novotny, CRNA
• Jafar Novruzov, PMHNP-BC
• Klaudia Maria Nowak-Capobianco
• Anna Nowak-Wegrzyn, M.D.
• Eugene John Nowak, M.D,
• Michael Nowak, M.D.
• Francis Scott Nowakowski, MD

• Anesthesiology Physician in New York, NY
• Providers in New York, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.