Stanislav David Jivotovski, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

232406 Issued in NY

Practice address

Northern Westchester Hospital
400 East Main Street
Mount Kisco, NY 10549

Phone

(914) 666-1691

NPI assigned

Oct 5, 2005

Last updated

Feb 18, 2020By the provider in NPPES

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 1

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: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Anesthesiology

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162
• St John's Riverside Hospital Hospital, Yonkers, NY, CCN 330208
• Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• North Shore - Lij Anesthesiology, PC

  • Anesthesiology Physician
  • Chappaqua, NY
  • NPI 1417401266

  CT

  Medicare reassignment Care Compare group NPD
• Orthopaedic Specialty Surgery Center LLC

  dba Orthopaedic & Specialty Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Danbury, CT
  • NPI 1174708390
  NPD (past)

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

• Long Island Jewish Medical Center

  • General Acute Care Hospital
  • New Hyde Park, NY
  • NPI 1285641514
  Care Compare affiliation
• Northern Westchester Hospital Association

  dba Northern Westchester Hospital Transitional Care Unit

  • Medicare Defined Swing Bed Hospital Unit
  • Mount Kisco, NY
  • NPI 1396178356
  Care Compare affiliation
• Northern Westchester Hospital Association

  dba Northern Westchester Hospital

  • General Acute Care Hospital
  • Mount Kisco, NY
  • NPI 1912992215
  Care Compare affiliation
• St. John's Riverside Hospital

  • General Acute Care Hospital
  • Yonkers, NY
  • NPI 1578526695
  Care Compare affiliation

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1417944398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N BEDFORD RD STE 200",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492555",
            "telephone_number": "914-666-8866",
            "fax_number": "914-666-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTHERN WESTCHESTER HOSPITAL",
            "address_2": "400 EAST MAIN STREET",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "914-666-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIVOTOVSKI",
        "first_name": "STANISLAV",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "62373",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "232406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02551866",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Jellinger
• Jennifer Pritt, Psy.D
• Jennifer Schlinger Physical Therapy
• Jennifer Steinberg, PHD, Psychologist, PLLC
• Eugenio Jimenez de Castro, L.AC.
• John J Browne DDS, Eugene N Goetz DDS, Benedict R Miraglia DDS
• John J Wang MD PLLC
• John S. Mazella, M.D., P.C.
• Jerel John
• Valerie Johnstone, CSWR

• Anesthesiology Physician in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.