DR. JOHN P CVITKOVIC (NPI# 1558349779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558349779 |
| Entity Type | Individual |
| Full Name | DR. JOHN P CVITKOVIC |
| Credential | PA-C, PT, C.PED, CFO |
| Practice Address |
1650 Grand Concourse 7th Floor Bronx NY 10457-7606 |
| Mailing Address |
115 Main St Suite 202 Tuckahoe NY 10707-2948 |
| Practice Telephone | 9149611600 |
| Practice Fax Number | 8882704616 |
| Mailing Telephone | 9149611600 |
| Mailing Fax Number | 8882704616 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2016-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 225000000X | Orthotic Fitter | CFO02565 | DE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 019369 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 363A00000X | Physician Assistant | 008387 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 224L00000X | Pedorthist | CPED1198 | DE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OPTUM HEALTH PHYSICAL THERAPY-UNITED HEALTHCARE | 0000180974616 | 01 |
| NY | AETNA-ORTHONET | 0401995 | 01 |
| NY | POMCO | 272438120 | 01 |
| NY | DEA | MC2280042 | 01 |
| NY | CIGNA HEALTHCARE-ORTHONET | 0401995 | 01 |
| NY | HUMANA HEALTH PLAN | 272438120 | 01 |
| NY | OPTUM HEALTH PHYSICAL THERAPY- EMPIRE STATE AND ORANGE COUNTY | 703204 | 01 |
| NY | AFFINITY HEALTH PLAN | 272438120 | 01 |
| NY | MULTI-PLAN | 272438120 | 01 |
| NY | FECA/ OFFICE OF FEDERAL WORKERS COMPENSATION | 616130500 | 01 |
| NY | EMPIRE BLUE CROSS | Q622E1 | 01 |
| NY | AGEWELL HEALTH PLAN | 272438120 | 01 |
| NY | HUDSON HEALTH PLAN | 272438120 | 01 |
| NY | MVP | 3017337 | 01 |
| NY | AMERIGROUP HEALTH PLAN | 272438120 | 01 |
| NY | MULTIPLAN-GEHA | 272438120 | 01 |
| NY | MAGNACARE | 272438120 | 01 |
| NY | 03021730 | 05 | |
| CAQH | 11556837 | 01 | |
| NY | VNS CHOICE HEALTH PLAN | 272438120 | 01 |
| NY | AETNA- LOCAL 1199/ORTHONET | 0401995 | 01 |
| NY | OPTUM HEALTH PHYSICAL THERAPY- OXFORD HEALTH PLAN-FREEDOM/LIBERT | P4162456 | 01 |
| Street Address |
1650 GRAND CONCOURSE 7TH FLOOR |
| City | BRONX |
| State | NY |
| Zip Code | 10457-7606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859952 | Ruth Mankoff | Advanced Practice Midwife | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2005-05-28 |
| 1053918813 | Ujwol Karmacharya | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-10-05 |
| 1427664713 | Jasmine George | Pharmacist | 1650 Grand Concourse, Main Basement Pharmacy, Bronx, NY 10457 | 2020-09-22 |
| 1700491446 | Harpreet Kaur | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-09-10 |
| 1801401567 | Aditya Tiwari | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-09-10 |
| 1134733884 | Sushant Niroula | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-09-01 |
| 1124632864 | Sachin Bhandari | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-09-01 |
| 1720692585 | Dhruv Patel | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-08-31 |
| 1447864293 | Amit Mishra | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7697 | 2020-08-31 |
| 1912511775 | Yakoot Muhammad Khan | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851722 | Aruna Muthumanickam | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, The Bronx, New York City, NY 10457 | 2020-08-11 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
| 1003434457 | Nauri Estefani Abreu Roa | Student in an Organized Health Care Education/Training Program | Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-13 |
| 1033737630 | Sapna Sharma | Student in an Organized Health Care Education/Training Program | St. Barnabas Hospital, 4422 Third Avenue Bronx, Bronx, NY 10457 | 2020-07-09 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1245891001 | Muhammad Shahzad | Student in an Organized Health Care Education/Training Program | St. Barnabas Health 4422 Third Avenue, Bronx, NY 10457 | 2019-06-24 |
| 1144886565 | Grant Joseph Gleason | Student in an Organized Health Care Education/Training Program | 4422 3rd Avenue St Barbabas Hospital Dept of Dentistry, Bronx, NY 10457 | 2019-05-10 |
| Find all providers in zip 10457 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538315403 | Center for Prosthetics And | Orthotist | 5650 Mosholu Ave, Bronx, NY 10471 | 2008-08-12 |
| 1952748162 | Kathryn E. Nilsen | Orthotist | 1250 Waters Pl, Tower One, Suite 702, Bronx, NY 10461-2720 | 2013-05-29 |
| 1154649069 | O & P Plus, LLC | Orthotist | 1650 Grand Concourse, 7th Floor Orthopedic Clinic, Bronx, NY 10457 | 2010-05-17 |
| 1952552168 | Konrad Peter Walz | Orthotist | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134082 | Remarkable Prosthetics & Orthotics Inc | Orthotist | 1763-1765 Dutch Broadway, Suite 2, Elmont, NY 11003 | 2020-11-06 |
| 1548882095 | Dme Solutions, LLC. | Orthotist | 130 Newbridge Rd, Hicksville, NY 11801-3967 | 2020-05-07 |
| 1912538364 | Thomas Testa | Orthotist | 1180 Lincoln Ave Unit 4, Holbrook, NY 11741-2285 | 2020-02-03 |
| 1114481231 | William Patrick Perdue | Orthotist | 60 Fleets Point Dr Ste 3, West Babylon, NY 11704-8314 | 2019-01-23 |
| 1699255406 | Michael Antonis Koullias | Orthotist | 1070 66th St, Brooklyn, NY 11219-5939 | 2018-08-21 |
| 1093217911 | Orthotic Services for Children, Inc. | Orthotist | 811a Carman Ave., Westbury, NY 11590 | 2018-03-07 |
| 1851840714 | Vasilios Kehagias | Orthotist | 2305 Astoria Blvd, Astoria, NY 11102-4345 | 2016-10-03 |
| 1922556562 | Jonathan Scott Hess | Orthotist | 329 Route 211 E, Middletown, NY 10940-2804 | 2016-09-12 |
| 1487092995 | Frontrunners Inc. | Orthotist | 745 7th Ave., Super Runners Shop, New York, NY 10019 | 2013-06-06 |
| 1124374988 | Derrick Ko | Orthotist | 142-60 56th Rd., Flushing, NY 11355 | 2012-07-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.