CMS-1500 Box 24J / 33a • NPI
1104428499
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208D00000X (CMS 01)
Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice
Box 32 Service Location & ZIP+4
25 RIVERSIDE DR STE 2, PINE BROOK, NJ, 07058-9391
✓ 9-Digit EDI 837 ZIP+4 (07058-9391)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1104428499 (MICHAL DUBOWSKI, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1104428499 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MICHAL DUBOWSKI, MD |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice NUCC Code: 208D00000X (General Practice) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 25 RIVERSIDE DR STE 2, PINE BROOK, NJ, 07058-9391 |
| Practice Telephone / Fax | Tel: (224) 628-4001 |
| Administrative Mailing Address | 18 WYNDHAM PL, ROBBINSVILLE, NJ, 08691-3121 |
| Enumeration & Last Sync | Enumerated: 2020-11-11 | CMS Record Updated: 2025-01-31 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208D00000X)
What Does Taxonomy Code 208D00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208D00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MICHAL DUBOWSKI, MD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: CA | License: 08787533 | Primary: Secondary |
246ZC0007X — Specialist/Technologist, Other, Surgical AssistantPlain English: Licensed & Credentialed Specialist/Technologist, Other, Surgical Assistant | State: WI | License: 18-172 | Primary: Secondary |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: NJ | License: NJDCATEMP-001670 | Primary: Secondary |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: MO | License: 2019028021 | Primary: Secondary |
208D00000X — General PracticePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice | State: NY | License: P129347 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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