MICHAEL FEDOROVSKY D.O. NPI 1225725070

NPI Information

NPI: 1225725070
Provider Name: MICHAEL FEDOROVSKY, D.O.
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address: 29 E 29TH ST
BAYONNE, NJ
ZIP 07002
Phone: (201) 858-6596

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NPI Details

Michael Fedorovsky, D.O. is a student in an organized health care education training program in Bayonne, NJ. The provider is 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. Michael Fedorovsky, D.O. NPI is 1225725070. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

29 E 29TH ST
BAYONNE, NJ
ZIP 07002-654
Phone: (201) 858-6596

The enumeration date for this NPI number is 4/21/2023 and was last updated on 10/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		332980-01	NEW YORK	No
2	390200000X	Student in an Organized Health Care Education/Training Program			NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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