Grigory Isacc Kizelshteyn, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

1661111 Issued in NY

Practice address

220 Westchester Avenue
White Plains, NY 10604

Phone

(914) 289-1507

Fax

(914) 289-0937

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Anesthesiology

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Anesthesiology Associates of Boro Park, LLPGroup PAC ID 9739079021, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Anesthesiology Associates of Boro Park, LLP

  • Pain Medicine (Anesthesiology) Physician
  • Brooklyn, NY
  • NPI 1518912302
  Medicare reassignment Care Compare group NPD
• American Anesthesia Business Partners, LLP

  • Pain Medicine (Anesthesiology) Physician
  • Brooklyn, NY
  • NPI 1164398442
  NPD (past)
• Brooklyn Anesthesia Medical Group, PLLC

  • Specialist
  • Brooklyn, NY
  • NPI 1679524813
  NPD (past)
• Doctors United, Inc

  • Special Hospital
  • White Plains, NY
  • NPI 1508979162
  NPD (past)
• Maimonides Department of Psychiatry FPP

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1376656710
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1184667461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WESTCHESTER AVENUE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10604",
            "telephone_number": "914-289-1507",
            "fax_number": "914-289-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WESTCHESTER AVENUE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10604",
            "telephone_number": "914-289-1507",
            "fax_number": "914-289-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZELSHTEYN",
        "first_name": "GRIGORY",
        "middle_name": "ISACC",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "1661111",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "1661111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01216375",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1253384",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY GOVERNMENT",
            "identifier": "91389",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirschenbaum Orthopaedics PLLC
• Jacqueline Brady Kishel
• Bryan Kissel, OTR
• Jennifer Kissel
• Debra J. Kittay X, LMSW
• Aryeh L. Klahr, M.D.
• Ellen J Klausner, PHD
• Neeva Brenner Kleiman, LMSW
• Andrew Charles Klein, PT
• Marc Kevin Klein, RPH

• Pain Medicine (Anesthesiology) Physician in White Plains, NY
• Providers in White Plains, NY by specialty
• Pain Medicine (Anesthesiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.