Individual provider Active NPI

Michael Keith Dovnarsky, M.D., F.C.C.P.

  • Cardiovascular Disease Physician
  • Vineland, NJ
National Provider Identifier
1891729372
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA44099 Issued in NJ
Practice address
1206 W Sherman Ave
Building 1
Vineland, NJ 08360-6916
Phone
(856) 691-8444
Fax
(856) 691-8325
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA44099 NJ Primary

Addresses

Primary practice location

1206 W Sherman Ave
Building 1
Vineland, NJ 08360-6916

Mailing address

1206 W Sherman Ave
Building 1
Vineland, NJ 08360-6916
Phone (856) 692-7700

Other identifiers 1

IdentifierTypeStateIssuer
5473900MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20101029000837 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4082665831 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Hahnemann University College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excelcare Alliance LLCGroup PAC ID 0941470082, 20 clinicians

Practice addresses (Care Compare)

2020 E Chestnut Ave
Vineland, NJ 08361-8432
Phone (856) 563-1600

2815 E Chestnut Ave
Vineland, NJ 08361-8466
Phone (856) 696-9697

53 S Maple Ave
Marlton, NJ 08053-2031
Phone (856) 297-0238

Merit-based Incentive Payment System (MIPS)

Final score
90.34 of 100Reported as group
Quality
78.48
Promoting interoperability
100
Improvement activities
40
Cost
78.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA44099NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excelcare Alliance, LLC Cardiovascular Disease CurrentSince Jun 1, 2014 Accepting new patients
Atlantic Medical Imaging CurrentSince Oct 1, 2020 Accepting new patients
M.K. Dovnarsky,M.D.,P.C. Cardiovascular Disease CurrentSince Jan 20, 2013 Accepting new patients
Dendrinos Medical Associates, P.a. Past Accepting new patients
Northern Arizona Healthcare Corporation Cardiovascular Disease Past Accepting new patients

Locations

455 Jack Martin Blvd
Brick, NJ 08724
Phone (516) 543-1155

495 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 202-9222

1119 Highway 77
Ste C
Bridgeton, NJ 08302
Phone (856) 453-1555

6529 Black Horse Pike
Egg Hbr Twp, NJ 08234
Phone (609) 645-8500

44 E Jimmie Leeds Rd
Ste 101
Galloway, NJ 08205
Phone (609) 652-7349

44 E Jimmie Leeds Rd
Galloway, NJ 08205
Phone (609) 652-3070

37 Nautilus Dr
Manahawkin, NJ 08050
Phone (609) 597-2001

2399 Highway 34
Bldg B
Manasquan, NJ 08736
Phone (732) 223-9729

53 S Maple Ave
Marlton, NJ 08053
Phone (856) 297-0238

4450 Black Horse Pike
Ste 3982
Mays Landing, NJ 08330
Phone (609) 616-2920

1226 Tilton Rd
Northfield, NJ 08225
Phone (609) 383-2400

524 Williamstown Rd
Ste A
Sicklerville, NJ 08081
Phone (856) 728-1181

30 E Maryland Ave
Somers Point, NJ 08244
Phone (609) 653-0209

864 Route 37 W
Toms River, NJ 08755
Phone (732) 341-7433

2020 E Chestnut Ave
Vineland, NJ 08361
Phone (856) 563-1600

1206 W Sherman Ave
Vineland, NJ 08360
Phone (609) 327-0880

2815 E Chestnut Ave
Ste C
Vineland, NJ 08361

1450 E Chestnut Ave
Ste 4A
Vineland, NJ 08361
Phone (856) 794-8664

1206 W Sherman Ave
Bldg 1
Vineland, NJ 08360
Phone (856) 462-6250

602 W Sherman Ave
Vineland, NJ 08360
Phone (856) 691-1400

Interoperability endpoints

  • Direct secure messaging: michael.dovnarsky.2@12810.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12810/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1891729372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 W SHERMAN AVE",
            "address_2": "BUILDING 1",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606916",
            "telephone_number": "856-692-7700",
            "fax_number": "856-213-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W SHERMAN AVE",
            "address_2": "BUILDING 1",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606916",
            "telephone_number": "856-691-8444",
            "fax_number": "856-691-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVNARSKY",
        "first_name": "MICHAEL",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D., F.C.C.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA44099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5473900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.