Individual provider Active NPI

Irina Zhabinskaya, MD

  • Pediatrics Physician
  • Mount Kisco, NY
National Provider Identifier
1740273150
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
206975 Issued in NY
Practice address
400 E Main St
Northern Westchester Hospital 4TH Floor
Mount Kisco, NY 10549-3417
Phone
(914) 666-1200
Fax
(914) 666-1973
NPI assigned
Aug 31, 2005
Last updated
Jul 8, 2007By the provider in NPPES
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 206975 NY Primary

Addresses

Primary practice location

400 E Main St
Northern Westchester Hospital 4TH Floor
Mount Kisco, NY 10549-3417

Mailing address

400 E Main St
Northern Westchester Hospital -Medical Affairs
Mount Kisco, NY 10549-3417
Phone (914) 666-1200

Other identifiers 12

IdentifierTypeStateIssuer
000000071974OtherGHI-HMO PIN#
040426013353OtherFIDELISCARE PIN
5116677OtherAETNA-HMO PROVIDER ID
10059570-U104OtherCDPHP PIN & GRP PIN
01838119OtherNY-MEDICAID
381904OtherMVP HEALTHPLAN PIN#
P841934OtherOXFORD HEALTH PLAN PIN#
2683486OtherAETNA-HMO PROVIDER ID
2695461OtherGHI-PPO PIN#
3C5202OtherHEALTHNET GROUP PIN#
1947107OtherFIRST HEALTH PIN
462Y71OtherEMPIRE BCBS PIN#

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
I20200204000439 NY Practitioner - Pediatric Medicine 9335575752 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Mar 1, 2020 Accepting new patients
Northern Westchester Hospital Association Past Accepting new patients
Northern Westchester Hospital Association Past Accepting new patients

Locations

300 Community Dr
Manhasset, NY 11030

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

400 E Main St
Fl 4
Mount Kisco, NY 10549
Phone (914) 242-8318

972 Brush Hollow Rd
Westbury, NY 11590

Organizations & group practices 3

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740273150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "address_2": "NORTHERN WESTCHESTER HOSPITAL -MEDICAL AFFAIRS",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493417",
            "telephone_number": "914-666-1200",
            "fax_number": "914-666-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "address_2": "NORTHERN WESTCHESTER HOSPITAL 4TH FLOOR",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493417",
            "telephone_number": "914-666-1200",
            "fax_number": "914-666-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHABINSKAYA",
        "first_name": "IRINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "206975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-HMO PIN#",
            "identifier": "000000071974",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELISCARE PIN",
            "identifier": "040426013353",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-HMO PROVIDER ID",
            "identifier": "5116677",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP PIN & GRP PIN",
            "identifier": "10059570-U104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY-MEDICAID",
            "identifier": "01838119",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTHPLAN PIN#",
            "identifier": "381904",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN PIN#",
            "identifier": "P841934",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-HMO PROVIDER ID",
            "identifier": "2683486",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-PPO PIN#",
            "identifier": "2695461",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET GROUP PIN#",
            "identifier": "3C5202",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST  HEALTH PIN",
            "identifier": "1947107",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS PIN#",
            "identifier": "462Y71",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.