C. DICOVSKY MEDICAL GROUP, LLC
NPI 1821097940
Internal Medicine in Paterson, NJ

Active since July 20, 2005
681 BROADWAY, PATERSON, NJ 07514(973) 278-1000(973) 278-1709 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Internal Medicine

About C. DICOVSKY MEDICAL GROUP, LLC

This page provides the complete NPI Profile along with additional information for C. Dicovsky Medical Group, Llc, an internist established in Paterson, New Jersey operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1821097940 assigned on July 2005. The practitioner's primary taxonomy code is 207R00000X with license number 059094 (NJ). The provider is registered as an organization and their NPI record was last updated 4 years ago. C. Dicovsky Medical Group, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Teresa Lares (Manager)

NPI
1821097940 Verify this NPI
Provider Name
C. DICOVSKY MEDICAL GROUP, LLC
Entity Type
Organization
Location Address
681 BROADWAY PATERSON, NJ 07514
Location Phone
(973) 278-1000
Location Fax
(973) 278-1709
Mailing Address
681 BROADWAY PATERSON, NJ 07514
Mailing Phone
(973) 278-1000
Mailing Fax
(973) 278-1709
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-20-2005
Last Update Date
03-10-2022
Code Navigator

An internist like C. Dicovsky Medical Group, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
059094
License State
NJ
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

064703 (NJ)
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
32085B0100XAllopathic & Osteopathic Physicians

Radiology
Body Imaging

024361 (NJ)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TERESA LARES

Authorized Official Title
MANAGER
Authorized Official Phone
(973) 278-1000

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
681 BROADWAY
PATERSON, NJ 07514
Registered Nurse
681 BROADWAY
PATERSON, NJ 07514
Internal Medicine
681 BROADWAY
PATERSON, NJ 07514
Internal Medicine
681 BROADWAY
PATERSON, NJ 07514
Psychiatry & Neurology (Psychiatry)
681 BROADWAY
PATERSON, NJ 07514

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821097940, enumerated as an "organization" on July 20, 2005.

The provider is located at 681 BROADWAY PATERSON, NJ 07514 and the phone number is (973) 278-1000.

Internal Medicine with taxonomy code 207R00000X.