Individual
DR. JOHN P CVITKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, PT, C.PED, CFO
Contact information
Practice address
1650 GRAND CONCOURSE, 7TH FLOOR, BRONX, NY 10457-7606
(914) 961-1600
(888) 270-4616
Mailing address
115 MAIN ST, SUITE 202, TUCKAHOE, NY 10707-2948
(914) 961-1600
(888) 270-4616
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
NY
224L00000X
Pedorthist
CPED1198
DE
225000000X
Orthotic Fitter
CFO02565
DE
225100000X
Physical Therapist
019369
NY
363A00000X
Physician Assistant
008387
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000180974616
OPTUM HEALTH PHYSICAL THERAPY-UNITED HEALTHCARE
NY
05
—
03021730
—
NY
01
—
0401995
AETNA- LOCAL 1199/ORTHONET
NY
01
—
11556837
CAQH
—
01
—
272438120
POMCO
NY
01
—
3017337
MVP
NY
01
—
616130500
FECA/ OFFICE OF FEDERAL WORKERS COMPENSATION
NY
01
—
703204
OPTUM HEALTH PHYSICAL THERAPY- EMPIRE STATE AND ORANGE COUNTY
NY
01
—
P4162456
OPTUM HEALTH PHYSICAL THERAPY- OXFORD HEALTH PLAN-FREEDOM/LIBERTY
NY
01
—
Q622E1
EMPIRE BLUE CROSS
NY
Enumeration date
01/06/2006
Last updated
03/07/2023
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