Individual provider Active NPI

Sarah Rivkah Vaiselbuh, M.D.

  • Pediatrics Physician
  • Chestnut Ridge, NY
National Provider Identifier
1336294941
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
234488 Issued in NY
Practice address
48 Scotland Hill Rd
Chestnut Ridge, NY 10977-5837
Phone
(845) 425-0887
NPI assigned
Jan 24, 2007
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0207X 234488 NY
Pediatrics Physician 208000000X 234488 NY Primary

Addresses

Primary practice location

48 Scotland Hill Rd
Chestnut Ridge, NY 10977-5837

Mailing address

48 Scotland Hill Rd
Chestnut Ridge, NY 10977-5837
Phone (845) 425-0887

Other identifiers 1

IdentifierTypeStateIssuer
03136192MedicaidNY

Other names 1

  • Ilse Meeus Former name

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
I20110715000124 NY Practitioner - Pediatric MedicinePractitioner - Hematology/OncologyPractitioner - Hematology 8325216419 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of University Hospital, PC Multi-Specialty CurrentSince Jun 1, 2011 Accepting new patients
Maimonides Faculty Practice Plan Multi-Specialty CurrentSince Dec 26, 2018 Accepting new patients
North Shore-Lij Medical PC Multi-Specialty CurrentSince May 1, 2019 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Yedei Chesed Inc Multi-Specialty CurrentSince Oct 1, 2022 Accepting new patients
MMC Pediatrics Faculty Practice Multi-Specialty CurrentSince Dec 26, 2018 Accepting new patients
Physicians of University Hospital, PC Multi-Specialty CurrentSince Jun 1, 2011 Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

300 Community Dr
Manhasset, NY 11030

48 Scotland Hill Rd
Spring Valley, NY 10977
Phone (845) 425-0887

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

256 Mason Ave
Staten Island, NY 10305
Phone (718) 226-9508

256 Mason Ave
Bldg B
Staten Island, NY 10305
Phone (718) 226-1271

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

Interoperability endpoints

  • Direct secure messaging: sarah.vaiselbuh.1@31422.direct.athenahealth.com
  • Direct secure messaging: sarahvaiselbuh@cmdci.allscriptsdirect.net
  • Direct secure messaging: sarahvaiselbuh@mai.allscriptsdirect.net
  • Direct secure messaging: svaiselbuh@hiemail.healtheconnections.org

Organizations & group practices 7

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1336294941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 SCOTLAND HILL RD",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109775837",
            "telephone_number": "845-425-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 SCOTLAND HILL RD",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109775837",
            "telephone_number": "845-425-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAISELBUH",
        "first_name": "SARAH",
        "middle_name": "RIVKAH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NY",
            "license": "234488",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "234488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03136192",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILSE",
            "last_name": "MEEUS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chestnut Ridge, NY

Sources for this page

Verify at the official NPI Registry.