Individual provider Active NPI

Janice Fern Bistritz, PNP

  • Pediatrics Physician
  • New Rochelle, NY
National Provider Identifier
1619045408
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
380051 Issued in NY
Practice address
16 Guion Place
New Rochelle, NY 10802
Phone
(914) 637-1165
Fax
(914) 637-1479
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 380051 NY Primary

Addresses

Primary practice location

16 Guion Place
New Rochelle, NY 10802

Mailing address

14 Harvard CT
White Plains, NY 10605
Phone (914) 682-5263

Other identifiers 1

IdentifierTypeStateIssuer
02040691MedicaidNY

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070926001145 NY Practitioner - Nurse Practitioner 2264527928 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore New Rochelle Hospital CurrentSince Jun 22, 2016 Accepting new patients
Sound Shore Physician Services Past Accepting new patients

Locations

16 Guion Pl
Rm 107
New Rochelle, NY 10801
Phone (914) 365-3160

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

29 Glover Johnson Pl
New Rochelle, NY 10801
Phone (914) 701-1700

140 Lockwood Ave
Ste 104
New Rochelle, NY 10801
Phone (914) 235-9333

Networks

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

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619045408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HARVARD CT",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10605",
            "telephone_number": "914-682-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GUION PLACE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "10802",
            "telephone_number": "914-637-1165",
            "fax_number": "914-637-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISTRITZ",
        "first_name": "JANICE",
        "middle_name": "FERN",
        "name_prefix": "Ms.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "380051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02040691",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.