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

Michael Fedorovsky, DO

Individual provider General Practice Physician · NPI 1225725070

Michael Fedorovsky, DO is a General Practice in Bayonne, New Jersey. Qualified in 2023, 3 years ago. Accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
3
Licensed in
NJ, NY
In the registry since
2023
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

29 E 29th St
Bayonne, NJ 07002-4654
Phone: (201) 858-6596
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NJ)
General Practice Physician Taxonomy 208D00000X · Licence 332980-01 (NY)

Record details

NPI number1225725070
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 21, 2023
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024
Mailing address42 Boundary Ave, Staten Island, NY 10306-5206

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bayonne