Sandra Ivanov, DO

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Northern Westchester Hospital 400 E. Main St
Mount Kisco, NY 10549

Phone

(914) 666-1931

NPI assigned

Apr 1, 2025

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: sivanov357587@northwell.direct-ci.com
• Direct secure messaging: sandra.ivanovdo.p1@direct.westchesterhealth.nextgenshare.com

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1649074758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTHERN WESTCHESTER HOSPITAL 400 E. MAIN ST",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "914-666-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTHERN WESTCHESTER HOSPITAL 400 E. MAIN ST",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "914-666-1931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Bedford Rd",
            "address_purpose": "LOCATION",
            "city": "Chappaqua",
            "state": "NY",
            "postal_code": "105141715",
            "country_code": "US",
            "telephone_number": "914-458-8730",
            "fax_number": "914-331-3568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVANOV",
        "first_name": "SANDRA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald H Hyman, D.M.D.
• Francesca Imbruglia
• Michelle Rose Imbruglia, WHNP-BC
• Integrated Medicine of Mount Kisco PLLC
• Mark Ipri, CASAC-T
• Joan B. Jablow, MS, APRN, NP
• Marilyn F Jacobowitz, MD
• Jason David Jacobs, M.D.
• James Digiacinto DDS Evan Kantor DMD PC
• James McAvey MD PC

• Student in an Organized Health Care Education/Training Program in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.