Individual provider Active NPI

Michael Y Mizhiritsky, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New York, NY
National Provider Identifier
1942260419
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
200093 Issued in NY
Practice address
130 E 67TH St
Ground Level
New York, NY 10065-6136
Phone
(212) 759-4553
Fax
(212) 486-8334
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 200093 NY Primary

Addresses

Primary practice location

130 E 67TH St
Ground Level
New York, NY 10065-6136

Mailing address

1198 3Rd Ave
New York, NY 10021-5102
Phone (212) 759-4553

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040708001191 NY Practitioner - Physical Medicine and Rehabilitation 7315925195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
State University of New York at Stony Brook, School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Bone and Joint Specialists PLLCGroup PAC ID 0143320283, 19 clinicians

Practice addresses (Care Compare)

130 E 67TH St
New York, NY 10065-6136
Phone 2127594553141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200093NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Bone and Joint Specialists, PLLC CurrentSince Jun 1, 2007 Accepting new patients
Edison R. Blanco Physician PC Past Accepting new patients
Perry B Herson MD PC Specialist Past Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC PastSince Jun 1, 2007 Accepting new patients
Metro Athletic Medicine & Fitness PC Past Accepting new patients
American Comprehensive Healthcare Medical Group PC Specialist PastSince Nov 1, 2014 Accepting new patients

Locations

425 Madison Ave
Rm 200
New York, NY 10017

1198 3rd Ave
New York, NY 10021
Phone (212) 335-1466

155 E 55th St
Ste 5D
New York, NY 10022
Phone (212) 759-4553

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1942260419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215102",
            "telephone_number": "212-759-4553",
            "fax_number": "212-486-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 67TH ST",
            "address_2": "GROUND LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656136",
            "telephone_number": "212-759-4553",
            "fax_number": "212-486-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZHIRITSKY",
        "first_name": "MICHAEL",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "200093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.