NPIMap

Individual provider Active NPI

Ilene Gewirtz, M.D.

  • Gynecology Physician
  • East Islip, NY
National Provider Identifier
1265405500
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
163315 Issued in NY
Practice address
369 E Main St
Suite11 BLDG 2
East Islip, NY 11730-2800
Phone
(631) 859-9793
Fax
(631) 277-4608
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 163315 NY Primary

Addresses

Primary practice location

369 E Main St
Suite11 BLDG 2
East Islip, NY 11730-2800

Mailing address

369 E Main St
Suite11 BLDG 2
East Islip, NY 11730-2800
Phone (631) 859-9793

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100504000113 NY Practitioner - Obstetrics/Gynecology 6901934488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Sep 1, 2023 Accepting new patients
Ilene Gewirtz GYN, P.C. Gynecology CurrentSince Mar 1, 2010 Accepting new patients
New York University CurrentSince Sep 1, 2023 Accepting new patients
CHS Physician Partners, P.C Past Accepting new patients
South Shore Gynecology Obstetrics Associates PC Gynecology Past Accepting new patients

Locations

369 E Main St
East Islip, NY 11730
Phone (631) 277-1600

369 E Main St
Ste 2
East Islip, NY 11730
Phone (631) 277-5566

369 E Main St
Ste 11
East Islip, NY 11730
Phone (631) 859-9793

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: igewirtz579187@nyumc.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1265405500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 E MAIN ST",
            "address_2": "SUITE11 BLDG 2",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302800",
            "telephone_number": "631-859-9793",
            "fax_number": "631-277-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 E MAIN ST",
            "address_2": "SUITE11 BLDG 2",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302800",
            "telephone_number": "631-859-9793",
            "fax_number": "631-277-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEWIRTZ",
        "first_name": "ILENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "163315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

Verify at the official NPI Registry.