Active NPI
Arkady Migdalovich, P.T.
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
National Provider Identifier
1871557538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 017757
- Practice address
- 8712 4TH Ave
Brooklyn, NY 11209-5110 - Phone
- (718) 680-1600
- Fax
- (718) 680-4473
- NPI assigned
- Apr 12, 2006
- 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 Medicine & Rehabilitation Physician | 208100000X | 017757 | NY | Primary |
Addresses
Primary practice location
8712 4TH Ave
Brooklyn, NY 11209-5110
Mailing address
90 Ridge Ave
Staten Island, NY 10304-1421
Phone (917) 597-2172
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11-3552139 | Other | NY | MULTIPLAN |
| 11-3552139 | Other | NY | UNITED HEALTH CARE |
| 11-3552139 | Other | NY | 1199 NBF |
| 017757 | Other | NY | HIP |
| QB6251 | Other | NY | EMPIRE BC/BS |
| N84089 | Other | NY | HEALTH NET |
| 02019583 | Medicaid | NY | |
| 6699137 | Other | NY | GHI |
| 000160820201 | Other | NY | HEALTH PLUS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017757 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1871557538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 RIDGE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103041421",
"telephone_number": "917-597-2172",
"fax_number": "718-980-3619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8712 4TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112095110",
"telephone_number": "718-680-1600",
"fax_number": "718-680-4473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIGDALOVICH",
"first_name": "ARKADY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "017757",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "11-3552139",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "11-3552139",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199 NBF",
"identifier": "11-3552139",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "017757",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "QB6251",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "N84089",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02019583",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6699137",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "000160820201",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.