Michael Chodakiewitz, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

332204 Issued in NY

Practice address

270-05 76TH Avenue Research BLDG
C Level Room 039Ab N
New Hyde Park, NY 11040

Phone

(718) 470-4475

NPI assigned

Mar 22, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Eastside Physicians of Nyc, PLLC

  • Family Medicine Physician
  • New York, NY
  • NPI 1144947029
  Medicare reassignment NPD
• West Side Physicians of Nyc, PLLC

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1205375557
  Medicare reassignment NPD
• Eastside Physicians of Nyc, PLLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1730820614
  NPD

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1972205870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270-05 76TH AVENUE RESEARCH BLDG",
            "address_2": "C LEVEL ROOM 039AB N",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "718-470-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270-05 76TH AVENUE RESEARCH BLDG",
            "address_2": "C LEVEL ROOM 039AB N",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "718-470-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHODAKIEWITZ",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-22",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "332204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zhi Chiu, RPH
• Eugene Cho, M.D.
• Jane S Cho, MD
• Peter Inkook Cho, DO
• Sungnai Cho, M.D.
• Jeanne S Choi Rosen, MD
• Christie Choi, PHARMD
• Ran Choi
• Samantha Marie Cholewa, PNP
• Maya Chopra, MD

• General Practice Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.