Individual provider Active NPI

Vahakn Shant Keskinyan, MD

  • Pediatrics Physician
  • Woodbury, NY
National Provider Identifier
1013413004
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
310026 Issued in NY
Practice address
7952 Jericho Tpke
Woodbury, NY 11797-1204
Phone
(516) 762-1100
NPI assigned
Mar 30, 2018
Last updated
May 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 310026 NY Primary

Addresses

Primary practice location

7952 Jericho Tpke
Woodbury, NY 11797-1204

Mailing address

1520 Old Northern Blvd
Roslyn, NY 11576-1126
Phone (516) 514-7337

Other practice location 1

1520 Old Northern Blvd
Roslyn, NY 11576-1126
Phone (516) 514-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230130001773 NY Practitioner - Pediatric Medicine 5294106241 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
310026NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Jan 1, 2023 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jan 1, 2023 Accepting new patients
Concierge Pediatrics, PC Pediatrics PastSince Sep 25, 2022 Accepting new patients

Locations

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

Philadelphia, PA 19195

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHIICD/Endpoint/FHIICD
  • Direct secure messaging: skeskinyan59912@direct.optum.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1013413004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 OLD NORTHERN BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761126",
            "telephone_number": "516-514-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7952 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971204",
            "telephone_number": "516-762-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Old Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Roslyn",
            "state": "NY",
            "postal_code": "115761126",
            "country_code": "US",
            "telephone_number": "516-514-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESKINYAN",
        "first_name": "VAHAKN",
        "middle_name": "SHANT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-30",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "310026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

Verify at the official NPI Registry.