C. Dicovsky Medical Group, LLC
NPI 1821097940 · Internal Medicine Physician · Paterson, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
C. Dicovsky Medical Group, LLC is a Internal Medicine Physician organization in Paterson, NJ (NPI 1821097940).
Provider details
- NPI number
- 1821097940
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Teresa Lares, Manager(973) 278-1000
- License
- 064703 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-20
- Last updated
- 2022-03-10
- Certified
- 2022-03-10
Frequently asked questions
- What is C. Dicovsky Medical Group, LLC's NPI number?
- C. Dicovsky Medical Group, LLC's National Provider Identifier (NPI) is 1821097940, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is C. Dicovsky Medical Group, LLC?
- C. Dicovsky Medical Group, LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is C. Dicovsky Medical Group, LLC located?
- C. Dicovsky Medical Group, LLC's practice location on file with NPPES is 681 Broadway, Paterson, NJ 07514-1421.
- What is C. Dicovsky Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for C. Dicovsky Medical Group, LLC is (973) 278-1000.
- Does C. Dicovsky Medical Group, LLC accept Medicare?
- C. Dicovsky Medical Group, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for C. Dicovsky Medical Group, LLC?
- The authorized official listed on C. Dicovsky Medical Group, LLC's NPPES record is Teresa Lares, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is C. Dicovsky Medical Group, LLC's NPI active?
- Yes — C. Dicovsky Medical Group, LLC's NPI (1821097940) is active in the NPPES registry as of the last update on 2022-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.