Individual provider Active NPI

Irina Girshovich, MD

  • Internal Medicine Physician
  • Fort Lee, NJ
National Provider Identifier
1043287212
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA62306 Issued in NJ
Practice address
810 Abbott Blvd
Suite 201
Fort Lee, NJ 07024-4151
Phone
(201) 886-9699
Fax
(201) 886-9015
NPI assigned
Mar 7, 2006
Last updated
Apr 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA62306 NJ Primary

Addresses

Primary practice location

810 Abbott Blvd
Suite 201
Fort Lee, NJ 07024-4151

Mailing address

810 Abbott Blvd
Suite 201
Fort Lee, NJ 07024-4151
Phone (201) 886-9699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA62306NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Chiro PC Past Accepting new patients
Immediate Care P.C. Past Accepting new patients

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1043287212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 ABBOTT BLVD",
            "address_2": "SUITE 201",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244151",
            "telephone_number": "201-886-9699",
            "fax_number": "201-886-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 ABBOTT BLVD",
            "address_2": "SUITE 201",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244151",
            "telephone_number": "201-886-9699",
            "fax_number": "201-886-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRSHOVICH",
        "first_name": "IRINA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA62306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.