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: November 01, 2026.

About C. Dicovsky Medical Group, Llc NPPES

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

C. DICOVSKY MEDICAL GROUP, LLC (NPI 1821097940) is a healthcare organization registered as an internal medicine in Paterson, New Jersey and active in the NPI registry since July 2005. The organization lists Teresa Lares, Manager, as its authorized official.

NPPES Registry Identity

NPI1821097940
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameC. DICOVSKY MEDICAL GROUP, LLC
Location Address681 BROADWAYPaterson, NJ 07514-1421
Mailing Address681 BroadwayPaterson, NJ 07514-1421 · (973) 278-1000 · Fax (973) 278-1709
Fax(973) 278-1709
Organization SubpartNo
Authorized OfficialTeresa LaresManager · (973) 278-1000
Enumeration DateJuly 20, 2005
Last NPPES UpdateMarch 10, 2022
NPPES CertifiedMarch 10, 2022
✔ NPI 1821097940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NJ · 059094✔ Licensed in NJ · 064703
Definition
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.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License 024361 (NJ)
681 BROADWAY, Paterson, NJ 07514

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

C. Dicovsky Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to C. Dicovsky Medical Group, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1386727287
681 BROADWAY
Paterson, NJ 07514
(973) 278-1000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1578644860
681 BROADWAY
Paterson, NJ 07514
(973) 278-1000
✔ PECOS✔ Accepts MedicareSame address

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

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 C. Dicovsky Medical Group, LLC's NPI number?

The NPI number for C. Dicovsky Medical Group, LLC is 1821097940. It was assigned to this organization in the NPPES registry on July 20, 2005.

Where is C. Dicovsky Medical Group, LLC located?

C. Dicovsky Medical Group, LLC is located at 681 Broadway, Paterson, NJ 07514. The listed phone number is (973) 278-1000.

What is C. Dicovsky Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is C. Dicovsky Medical Group, LLC enrolled in Medicare?

Yes. C. Dicovsky Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through C. Dicovsky Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to C. Dicovsky Medical Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for C. Dicovsky Medical Group, LLC was last updated on March 10, 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.