C. Dicovsky Medical Group, LLC
NPI 1821097940ActiveOrganization· Internal Medicine· Paterson, NJ
Internal Medicine in Paterson, New Jersey, registered in NPPES in July 2005. The authorized official on file is Teresa Lares, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1821097940 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 20, 2005 |
| Last updated in NPPES | Mar 10, 2022 |
| Certified by provider | Mar 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 059094 | NJ |
| Internal Medicine | 207R00000X | 064703 | NJ |
| Internal Medicine | 207R00000X | — | — |
| Radiology, Body Imaging | 2085B0100X | 024361 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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