Individual provider Active NPI

Vladimir Morgovsky, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1881783983
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
214298 Issued in NY
Practice address
1620 E 2ND St
Apt. 6D
Brooklyn, NY 11230-6947
Phone
(718) 375-9326
Fax
(718) 645-6600
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

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 214298 NY Primary

Addresses

Primary practice location

1620 E 2ND St
Apt. 6D
Brooklyn, NY 11230-6947

Mailing address

1620 East 2ND Street
Apt. 6D
Brooklyn, NY 11230-6931
Phone (718) 375-9326

Other identifiers 2

IdentifierTypeStateIssuer
214298OtherNYNYS LICENSE
02003056MedicaidNY

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
214298NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881783983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 EAST 2ND STREET",
            "address_2": "APT. 6D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306931",
            "telephone_number": "718-375-9326",
            "fax_number": "718-645-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 E 2ND ST",
            "address_2": "APT. 6D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306947",
            "telephone_number": "718-375-9326",
            "fax_number": "718-645-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGOVSKY",
        "first_name": "VLADIMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "214298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "214298",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02003056",
            "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 8, 2007; 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.