Individual provider Active NPI

Iosif Kolbovsky, MD

  • Nephrology Physician
  • White Plains, NY
National Provider Identifier
1760461768
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
455919-1 Issued in NY
Practice address
222 Westchester Ave
Suite 405
White Plains, NY 10604-2906
Phone
(914) 683-6474
Fax
(914) 682-6403
NPI assigned
Jan 10, 2006
Last updated
Oct 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 455919-1 NY Primary
Nephrology Physician 207RN0300X 042936 CT

Addresses

Primary practice location

222 Westchester Ave
Suite 405
White Plains, NY 10604-2906

Mailing address

210 Westchester Ave
3Rd Floor
White Plains, NY 10604-2901
Phone (914) 681-3146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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
I20040521000420 NY Practitioner - Nephrology 3173514726 Reassigns benefits to 1 organization
I20051122000389 CT Practitioner - Nephrology 3173514726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westchester Medical Group, P.CGroup PAC ID 6406752963, 410 clinicians

Practice addresses (Care Compare)

210 Westchester Ave
White Plains, NY 10604-2901
Phone (914) 682-0700

3030 Westchester Ave
Purchase, NY 10577-2574
Phone (914) 831-4100

5 Perryridge Rd
Greenwich, CT 06830-4608
Phone (203) 863-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042936CTMDNephrology Physician
455919-1NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Westchester Medical Group PC CurrentSince May 8, 1998 Accepting new patients
Westchester Medical Group, P.C. Nephrology CurrentSince May 8, 1998 Accepting new patients
Morningside Medical Practice, P.C. Nephrology Past Accepting new patients

Locations

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

1600 Harrison Ave
Ste G10
Mamaroneck, NY 10543
Phone (914) 381-2616

2700 Westchester Ave
Purchase, NY 10577
Phone (914) 607-5730

3030 Westchester Ave
Purchase, NY 10577
Phone (914) 682-6435

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

210 Westchester Ave
Fl 3
White Plains, NY 10604
Phone (914) 682-6532

222 Westchester Ave
Ste 405
White Plains, NY 10604
Phone (914) 421-1502

Networks

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

Interoperability endpoints

  • Direct secure messaging: ikolbovsky@hiemail.healtheconnections.org
  • Direct secure messaging: iosif.kolbovsky.1@21260.direct.athenahealth.com

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1760461768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WESTCHESTER AVE",
            "address_2": "3RD FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042901",
            "telephone_number": "914-681-3146",
            "fax_number": "914-682-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WESTCHESTER AVE",
            "address_2": "SUITE 405",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042906",
            "telephone_number": "914-683-6474",
            "fax_number": "914-682-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLBOVSKY",
        "first_name": "IOSIF",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "455919-1",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "042936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.