Mziya Itzkevitch, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

214319 Issued in NY

Practice address

7136 110TH St Apt 1E
Forest Hills, NY 11375-4834

Phone

(718) 896-0105

Fax

(718) 896-0108

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

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

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.

• Brookdale Hospital Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1962451195
  NPD (past)
• Long Island Jewish Medical Center

  • Children's Hospital
  • New Hyde Park, NY
  • NPI 1174530349
  NPD (past)
• Long Island Jewish Medical Center

  • General Acute Care Hospital
  • New Hyde Park, NY
  • NPI 1285641514
  NPD (past)
• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902992027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7136 110TH ST APT 1E",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754834",
            "telephone_number": "718-896-0105",
            "fax_number": "718-896-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 110TH ST APT 1E",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754834",
            "telephone_number": "718-896-0105",
            "fax_number": "718-896-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITZKEVITCH",
        "first_name": "MZIYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "214319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01971640",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yuriy Israel
• Irena Israilova, MS GEN AND SPEC ED
• Margarita Israilova
• Emilio Iturrino
• Kirsten Iturrino
• Tova Jill Itzkovitz, M.A., CCC-SLP
• Iyar Medical PC
• Susan G. Izeman, PHD
• Leonid Izrayelit, MD
• Anna P Izzo

• Pediatrics Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.