Individual provider Active NPI

Katherine Mary Giovinazzo, MD

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Bronx, NY
National Provider Identifier
1629538590
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
332945 Issued in NY
Practice address
3765 Riverdale Ave Ste 3
Bronx, NY 10463-1845
Phone
(929) 292-4411
Fax
(718) 432-8482
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 332945 NY Primary

Addresses

Primary practice location

3765 Riverdale Ave Ste 3
Bronx, NY 10463-1845

Mailing address

3765 Riverdale Ave Ste 3
Bronx, NY 10463-1845
Phone (929) 292-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NY2 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

Enrollment IDStateProvider typePAC IDDetails
I20231117002396 DC Practitioner - Ophthalmology 8729436423 Reassigns benefits to 1 organization
I20250617001390 NY Practitioner - Pediatric Medicine 8729436423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Georgetown University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

3765 Riverdale Ave
Bronx, NY 10463-1845
Phone (212) 702-7678

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
332945NYMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital CurrentSince Nov 3, 2023 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jun 2, 2025 Accepting new patients
Children'S Hospital Current Accepting new patients
Children'S Hospital CurrentSince Nov 3, 2023 Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

3765 Riverdale Ave
Bronx, NY 10463
Phone (718) 432-2020

3765 Riverdale Ave
Ste 3
Bronx, NY 10463
Phone (212) 988-1071

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

300 Community Dr
Plandome, NY 11030

Interoperability endpoints

  • Direct secure messaging: kgiovinazzo310156@northwell.direct-ci.com
  • Direct secure messaging: kgiovinazzo2@northwellhealth.intellechartdirect.net

Organizations & group practices 4

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1629538590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3765 RIVERDALE AVE STE 3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631845",
            "telephone_number": "929-292-4411",
            "fax_number": "718-432-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3765 RIVERDALE AVE STE 3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631845",
            "telephone_number": "929-292-4411",
            "fax_number": "718-432-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVINAZZO",
        "first_name": "KATHERINE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "NY",
            "license": "332945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.