MR. MICHAEL DWORKIS NCC, LPC
NPI 1275060766
Counselor - Mental Health in Fair Lawn, NJ

Active since May 16, 2017PECOS EnrolledAccepts Medicare Assignment
17-10 RIVER RD, FAIR LAWN, NJ 07410(551) 299-2055 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 7, 2021, Mar 17, 2018, Sep 13, 2017 and 1 more (4 updates tracked since 2017).

About Mr. Michael Dworkis Ncc, Lpc NPPES

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

MR. MICHAEL DWORKIS NCC, LPC (NPI 1275060766) is an individual mental health provider in Fair Lawn, New Jersey, licensed in New Jersey (37PC00608900) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1275060766
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. MICHAEL DWORKISCredential: NCC, LPC
Location Address17-10 RIVER RDFair Lawn, NJ 07410-1252
Mailing Address13-11 Ellis AveFair Lawn, NJ 07410-6201 · (201) 280-9887
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMay 16, 2017
Last NPPES UpdateMarch 25, 20224 updates tracked since enumeration
NPPES CertifiedMarch 15, 2022
NPI 1275060766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in NJ · 37PC00608900 Licensed in NJ · 37AC00219900
17-10 RIVER RD, Fair Lawn, NJ 07410

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Michael Dworkis Ncc, Lpc 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 ID547605297
PECOS Enrollment IDI20240304002538
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.

Other Providers at the Same Location NPPES 6

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

Dentist (General Practice)
17-10 RIVER RD, 4B
FAIR LAWN, NJ 07410
Social Worker (Clinical)
17-10 RIVER RD
FAIR LAWN, NJ 07410
Social Worker (Clinical)
17-10 RIVER RD
FAIR LAWN, NJ 07410
Social Worker (Clinical)
17-10 RIVER RD
FAIR LAWN, NJ 07410
Social Worker (Clinical)
17-10 RIVER RD
FAIR LAWN, NJ 07410
Dentist (General Practice)
17-10 RIVER RD
FAIR LAWN, NJ 07410

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Dworkis's NPI number?

The NPI number for Michael Dworkis is 1275060766. It was assigned to this individual provider in the NPPES registry on May 16, 2017.

Where is Michael Dworkis located?

Michael Dworkis practices at 17-10 River Rd, Fair Lawn, NJ 07410. The listed phone number is (551) 299-2055.

What is Michael Dworkis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Michael Dworkis enrolled in Medicare?

Yes. Michael Dworkis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Dworkis was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.