Individual provider Active NPI

Nataliya Krivitskaya, M.D.

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1740539931
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
267198 Issued in NY
Practice address
627 Lydig Ave
1 FL
Bronx, NY 10462-2283
Phone
(718) 772-0070
NPI assigned
Sep 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 051255 CT
Pediatrics Physician 208000000X 267198 NY Primary

Addresses

Primary practice location

627 Lydig Ave
1 FL
Bronx, NY 10462-2283

Mailing address

627 Lydig Ave
1 FL
Bronx, NY 10462-2283
Phone (718) 772-0070

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
I20130722000402 NY Practitioner - Pediatric Medicine 5890936769 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051255CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lydig Pediatrics PC Pediatrics CurrentSince May 1, 2013 Accepting new patients

Networks

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

Organizations & group practices 1

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": "1346630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382313600000",
    "number": "1740539931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 LYDIG AVE",
            "address_2": "1 FL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622283",
            "telephone_number": "718-772-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 LYDIG AVE",
            "address_2": "1 FL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622283",
            "telephone_number": "718-772-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIVITSKAYA",
        "first_name": "NATALIYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-03",
        "last_updated": "2013-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "051255",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "267198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.