Individual provider Active NPI

Vladimir M. Pevzner, M.D.

  • Anesthesiology Physician
  • White Plains, NY
National Provider Identifier
1790793503
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
216855 Issued in NY
Practice address
210 Westchester Ave
White Plains, NY 10604-2901
Phone
(914) 682-6440
Fax
(914) 681-5222
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 216855 NY Primary

Addresses

Primary practice location

210 Westchester Ave
White Plains, NY 10604-2901

Mailing address

800 Westchester Ave Ste N715
Rye Brook, NY 10573-1369
Phone (914) 607-5730

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
I20141028001935 NY Practitioner - Anesthesiology 8325112865 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
Sedation Vacation Perioperative Medicine PLLCGroup PAC ID 1759658594, 86 clinicians

Practice addresses (Care Compare)

1200 Waters PL
Bronx, NY 10461-2729
Phone (718) 863-0575

1301 Ave J
Brooklyn, NY 11230-3605
Phone (718) 688-3937

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216855NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
R&N Anesthesia PLLC Anesthesiology CurrentSince Nov 1, 2014 Accepting new patients
Centurion Midtown Anesthesia PLLC Anesthesiology CurrentSince Jul 15, 2023 Accepting new patients
Montefiore Medical Center Anesthesiology CurrentSince Sep 12, 2025 Accepting new patients
Mark J Coronel MD PC CurrentSince Jul 1, 2015 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Apr 3, 2018 Accepting new patients
Meadowbrook Medical Associates Anesthesiology CurrentSince Jan 13, 2016 Accepting new patients
Montefiore Medical Center CurrentSince Sep 12, 2025 Accepting new patients
Singular Anesthesia Services, PLLC Anesthesiology CurrentSince Jul 7, 2025 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Igor Amigud Physician P.C. CurrentSince May 1, 2014 Accepting new patients
Glacier Cryo Medical P.C Anesthesiology Past Accepting new patients
St. Barnabas Anesthesia Associates, P.C. Anesthesiology Past Accepting new patients
Valhalla Anesthesia Associates, PC Anesthesiology Past Accepting new patients

Locations

1200 Waters Pl
Ste M117
Bronx, NY 10461
Phone (718) 863-0575

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

111 E 210th St
Bronx, NY 10467

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

200 Broadway
Ste 3149
Brooklyn, NY 11211

1301 Avenue J
Brooklyn, NY 11230
Phone (718) 645-0600

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

11129 Queens Blvd
Forest Hills, NY 11375
Phone (718) 275-8900

383 N Sunrise Service Rd
Ste 2
Manorville, NY 11949
Phone (631) 591-3000

305 E 47th St
New York, NY 10017
Phone (212) 203-8744

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

865 Merrick Ave
Ste 150N
Westbury, NY 11590
Phone (516) 542-3636

944 N Broadway
Yonkers, NY 10701
Phone (914) 965-1234

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4303/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vladmir.pevzner.1@21260.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1790793503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WESTCHESTER AVE STE N715",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105731369",
            "telephone_number": "914-607-5730",
            "fax_number": "914-457-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WESTCHESTER AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042901",
            "telephone_number": "914-682-6440",
            "fax_number": "914-681-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEVZNER",
        "first_name": "VLADIMIR",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "216855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.