Individual provider Active NPI

Vivian Hirshaut, M.D.

  • Ophthalmology Physician
  • Hartsdale, NY
National Provider Identifier
1225005952
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
120997 Issued in NY
Practice address
141 So. Central Park Avenue
Suite 208
Hartsdale, NY 10530
Phone
(914) 948-3627
Fax
(914) 948-3513
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 120997 NY Primary

Addresses

Primary practice location

141 So. Central Park Avenue
Suite 208
Hartsdale, NY 10530

Mailing address

141 So. Central Park Avenue
Suite 208
Hartsdale, NY 10530
Phone (914) 948-3627

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
I20080118000074 NY Practitioner - Ophthalmology 5890876692 Practice locations: Mamaroneck, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
120997NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Docs Physicians Affiliated With Bimc Ophthalmology Past Accepting new patients
Doc Medical Practice of Yonkers PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1225005952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SO. CENTRAL PARK AVENUE",
            "address_2": "SUITE 208",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "10530",
            "telephone_number": "914-948-3627",
            "fax_number": "914-948-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SO. CENTRAL PARK AVENUE",
            "address_2": "SUITE 208",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "10530",
            "telephone_number": "914-948-3627",
            "fax_number": "914-948-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSHAUT",
        "first_name": "VIVIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "120997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsdale, NY

Sources for this page

Verify at the official NPI Registry.