Individual provider Active NPI

Anna Alshansky, M.D.

  • Developmental - Behavioral Pediatrics Physician
  • Yorktown HTS, NY
National Provider Identifier
1801891858
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
209449 Issued in NY
Practice address
1825 Commerce Street
Mount Kisco Medical Group PC
Yorktown HTS, NY 10598
Phone
(914) 962-5060
Fax
(914) 962-0527
NPI assigned
Jun 16, 2005
Last updated
Sep 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X 209449 NY Primary

Addresses

Primary practice location

1825 Commerce Street
Mount Kisco Medical Group PC
Yorktown HTS, NY 10598

Mailing address

1825 Commerce Street
Mount Kisco Medical Group PC
Mount Kisco, NY 10598
Phone (914) 962-5060

Other identifiers 1

IdentifierTypeStateIssuer
02071772MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120911000433 NY Practitioner - Neurology 0345202339 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209449NYMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Sep 20, 2012 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 20, 2012 Accepting new patients

Locations

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

1825 Commerce St
Yorktown Hts, NY 10598
Phone (914) 242-2930

Philadelphia, PA 19195

Networks

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

Organizations & group practices 2

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1801891858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 COMMERCE STREET",
            "address_2": "MOUNT KISCO MEDICAL GROUP PC",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "10598",
            "telephone_number": "914-962-5060",
            "fax_number": "914-962-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 COMMERCE STREET",
            "address_2": "MOUNT KISCO MEDICAL GROUP PC",
            "city": "YORKTOWN HTS",
            "state": "NY",
            "postal_code": "10598",
            "telephone_number": "914-962-5060",
            "fax_number": "914-962-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSHANSKY",
        "first_name": "ANNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NY",
            "license": "209449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02071772",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown HTS, NY

Sources for this page

Verify at the official NPI Registry.