Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

C. Dicovsky Medical Group, LLC

Organization Internal Medicine Physician · NPI 1821097940

C. Dicovsky Medical Group, LLC is an Internal Medicine Physician in Paterson, New Jersey. Licensed in New Jersey. Registered with an NPI since 2005.

Licensed in
NJ
In the registry since
2005
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

681 Broadway
Paterson, NJ 07514-1421
Phone: (973) 278-1000
Fax: (973) 278-1709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 059094 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 064703 (NJ)
Internal Medicine Physician Taxonomy 207R00000X
Body Imaging Physician Taxonomy 2085B0100X · Licence 024361 (NJ)

Record details

NPI number1821097940
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresa Lares — Manager · (973) 278-1000
NPI enumeratedJuly 20, 2005
Last updated in NPPESMarch 10, 2022
Certification dateMarch 10, 2022
Mailing address681 Broadway, Paterson, NJ 07514-1421

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