KONSTANTIN PERTSOVSKY (DO) – Internal Medicine Physician, NPI 1306876602

KONSTANTIN PERTSOVSKY (DO) is a healthcare provider. based in Cliffside park, New Jersey. specializing in Internal Medicine Physician. They hold the professional credentials DO. They hold a License No. 25MB07552900 (NJ). The NPI Number for KONSTANTIN PERTSOVSKY (DO) is 1306876602

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
KONSTANTIN PERTSOVSKY (DO)
NPI
1306876602
Phone
(201) 840-4081
Address
414 LAFAYETTE AVE
Enumeration Date
3 July 2006
Last Update Date
6 November 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7182973333
Graduation Year
1972 (54 years ago)
PAC ID
3375516750
Group Practice PAC ID
6002969748
Professional Enrollment ID
I20040813001134
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for KONSTANTIN PERTSOVSKY (DO)

  • 414, Lafayette Avenue, Grantwood, Cliffside Park, Bergen County, New Jersey, 07010, United States

    APT.A

    CLIFFSIDE PARK, NJ 070102024

    Phone: (201) 840-4081

    Fax: (201) 840-4081

    Type: Mailing

  • Victor A Abdy Md, 510, Paterson-Hamburg Turnpike, Wayne, Passaic County, New Jersey, 07470, United States

    WAYNE COMMONS, SUITE 101

    WAYNE, NJ 074702025

    Phone: (973) 942-6005

    Fax: (973) 942-6009

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040813001134IFamily PracticeNYTBD
I20061204000019IFamily PracticeNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes973424$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 07010)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002969748View full group profile
NameSpecialtyState
E N D O C R I N O L O G YNY
Psychiatry, Geriatric PsychiatryNY

Reviews

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Frequently asked questions

What NPI should I save for KONSTANTIN PERTSOVSKY (DO)?
Save NPI 1306876602 if you need a stable reference for KONSTANTIN PERTSOVSKY (DO).
Is KONSTANTIN PERTSOVSKY (DO)'s NPI currently valid?
The extract we use shows KONSTANTIN PERTSOVSKY (DO) as active.
Does KONSTANTIN PERTSOVSKY (DO) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for KONSTANTIN PERTSOVSKY (DO). Clinical services aligned with this taxonomy classification.
Where is KONSTANTIN PERTSOVSKY (DO)'s primary listing?
We display Cliffside Park, New Jersey because that is what the record indicates for KONSTANTIN PERTSOVSKY (DO).
What if Cliffside Park, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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