Active NPI
Avigail Itzkowitz
- Family Nurse Practitioner
- Greenwich, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9124
- Practice address
- 6 Greenwich Office Park
Greenwich, CT 06831-5151 - Phone
- (203) 869-1145
- NPI assigned
- Aug 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9124 | CT | Primary |
Addresses
Primary practice location
6 Greenwich Office Park
Greenwich, CT 06831-5151
Mailing address
6 Greenwich Office Park
Greenwich, CT 06831-5151
Phone (203) 869-1145
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
187 Veterans Blvd
Massapequa, NY 11758-4982
Phone (516) 795-5523
Hospital & facility affiliations
- Chsli St Joseph Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 346898 | NY | MD | Licensed Practical Nurse |
| 9124 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Care of Long Island PLLC | Current | Accepting new patients | |
| Hicksville Family Medical Care, PLLC | Current | Accepting new patients | |
| Refuah Health Center, Inc. | Current | Accepting new patients | |
| Refuah Health Center Inc | Current | Accepting new patients | |
| BP Immediate Medical Care, PC | Current | Accepting new patients | |
| Statcare Urgent & Walk in Medical Care PLLC | Current | Accepting new patients | |
| Pharma Holding Inc | Past | Accepting new patients |
Locations
3808 14th Ave
Brooklyn, NY 11218
Phone (718) 972-2424
7537 31st Ave
Flushing, NY 11370
Phone (929) 447-7513
232 W Old Country Rd
Hicksville, NY 11801
Phone (347) 808-8830
187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523
187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523
728 N Main St
New Square, NY 10977
Phone (845) 354-9301
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Organizations & group practices 7
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.
-
- Gastroenterology Physician
- Massapequa, NY
- NPI 1265571863
-
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1205105004
-
- Family Medicine Physician
- Mineola, NY
- NPI 1770813792
-
- Federally Qualified Health Center (FQHC)
- Spring Valley, NY
- NPI 1669470019
-
- Urgent Care Clinic/Center
- Mineola, NY
- NPI 1336426667
-
- Federally Qualified Health Center (FQHC)
- Liberty, NY
- NPI 1942903588
-
- Pharmacy
- Brooklyn, NY
- NPI 1396153680
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bethpage, NY
- NPI 1013998426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1760094437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 GREENWICH OFFICE PARK",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068315151",
"telephone_number": "203-869-1145",
"fax_number": "203-618-1721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 GREENWICH OFFICE PARK",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068315151",
"telephone_number": "203-869-1145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ITZKOWITZ",
"first_name": "AVIGAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-23",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "9124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.