MICHAEL FEDOROVSKY D.O.
NPI 1225725070
Student in an Organized Health Care Education/Training Program in Bayonne, NJ

Q: What is Michael Fedorovsky's NPI number?

The NPI number for Michael Fedorovsky is 1225725070. It was assigned to this individual provider in the NPPES registry on April 21, 2023.

Q: What is Michael Fedorovsky's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 21, 2023PECOS EnrolledAccepts Medicare Assignment

29 E 29TH ST, BAYONNE, NJ 07002(201) 858-6596 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Michael Fedorovsky D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL FEDOROVSKY D.O. (NPI 1225725070) is an individual student in an organized health care education/training program in Bayonne, New Jersey and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1225725070

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMICHAEL FEDOROVSKYCredential: D.O.

Location Address29 E 29TH STBayonne, NJ 07002-4654

Mailing Address42 Boundary AveStaten Island, NY 10306-5206 · (646) 549-2544

Phone(201) 858-6596

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 21, 2023

Last NPPES UpdateOctober 3, 2024

NPPES CertifiedOctober 3, 2024

✔ NPI 1225725070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 332980-01 (NY)

29 E 29TH ST, Bayonne, NJ 07002

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Fedorovsky D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547767576

PECOS Enrollment IDI20251007002816

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Fedorovsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brookview Medical Associates, PLLC

54 mi

General Practice

80 ORVILLE DR STE 100
Bohemia, NY 11716

Reassigned Medicare billing, New York enrollment
754 clinicians in this Medicare group

NPI 1871965855 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TITAN HEALTH PARTNERS LLC

Radiology (Radiation Oncology)