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

Individual provider Internal Medicine Physician · NPI 1306876602

Konstantin Pertsovsky, DO is an Internal Medicine Physician in Wayne, New Jersey. Licensed in New Jersey and New York. Registered with an NPI since 2006.

Licensed in
NJ, NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

510 Hamburg Tpke Wayne Commons Ste 101
Wayne, NJ 07470-2025
Phone: (973) 942-6005
Fax: (973) 942-6009
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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 25MB07552900 (NJ)
Neuromusculoskeletal Medicine & OMM Physician Taxonomy 204D00000X · Licence 214845 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 214845 (NY)

Record details

NPI number1306876602
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESNovember 6, 2014
Mailing address414 Lafayette Ave, Apt.A, Cliffside Park, NJ 07010-2024

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