Marine Vinnikov, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

500 Westchester Ave
West Harrison, NY 10604-3200

Phone

(914) 367-7395

NPI assigned

Aug 10, 2010

Last updated

May 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

White Plains Physician Services PCGroup PAC ID 3476894445, 386 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• White Plains Hospital Center Hospital, White Plains, NY, CCN 330304

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• White Plains Physician Services PC

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1124502687
  Medicare reassignment Care Compare group
• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment NPD
• Westchester Health Medical, P.C.

  • Allergy & Immunology Physician
  • Katonah, NY
  • NPI 1386188647
  Medicare reassignment NPD
• Urology Associates of Danbury PC

  dba Urology Associates of Connecticut

  • Urology Physician
  • Danbury, CT
  • NPI 1932107034
  Medicare reassignment NPD
• MSK Harrison

  • Medical Oncology Physician
  • West Harrison, NY
  • NPI 1174923593
  Medicare reassignment
• Mskcc Clinical Practice Plan

  • Medical Oncology Physician
  • New York, NY
  • NPI 1588789341
  Medicare reassignment
• Mskcc Surgery Group

  • Surgical Oncology Physician
  • New York, NY
  • NPI 1699766261
  Medicare reassignment
• Westchester Health Medical, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Mount Kisco, NY
  • NPI 1598203911
  NPD

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

• White Plains Hospital Medical Center

  dba White Plains Hospital Center

  • General Acute Care Hospital
  • White Plains, NY
  • NPI 1447255153
  Care Compare affiliation

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1285949644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WESTCHESTER AVE",
            "city": "WEST HARRISON",
            "state": "NY",
            "postal_code": "106043200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WESTCHESTER AVE",
            "city": "WEST HARRISON",
            "state": "NY",
            "postal_code": "106043200",
            "telephone_number": "914-367-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINNIKOV",
        "first_name": "MARINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Travieso, LCSW
• Jonathan Tyler Turriago, D.O.
• Joshua Varghese, FNP-BC
• Angie Vieira
• Tiffany Villamarin, AGNP
• White Plains Physical Therapy, P.C.
• Julia Williams
• Natasha Countess Williams, PA-C
• Michelle Winkelman, LMHC-D
• Elizabeth S Won, MD

• Physician Assistant in West Harrison, NY
• Providers in West Harrison, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.