Ida Jivotovski
Nurse Practitioner, Pediatrics in Stamford, Connecticut
1477229144- Practice location
- 1200 High Ridge RD Ste 3, Stamford, CT 06905-1202
- Phone
- 465-813-2176
- Fax
- —
- Last updated
- November 22, 2024
Ida Jivotovski is a Nurse Practitioner, Pediatrics based in Stamford, CT. Ida Jivotovski practices in Stamford, CT. The NPI Number for Ida Jivotovski is 1477229144 and holds a License No. 9884 (CT). The current practice location address for Ida Jivotovski is 1200 High Ridge RD Ste 3, Stamford, CT 06905-1202 and can be reached out via phone at 465-813-2176.
Provider Profile Details
- NPI Number
- 1477229144
- Provider Name
- Ida Jivotovski
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1200 High Ridge RD Ste 3, Stamford, CT 06905-1202
- Phone Number
- 465-813-2176
- Primary Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 21, 2021
- Last Update Date
- November 22, 2024
- Certification Date
- November 22, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1200 High Ridge RD Ste 3
Stamford, CT 06905-1202 - City
- Stamford
- State
- Connecticut
- Zip
- 06905-1202
- Phone Number
- 465-813-2176
Provider Business Mailing Address Details
- Address
- 51 Dennis Ln
Pleasantville, NY 10570-1032 - City
- Pleasantville
- State
- NY
- Zip
- 10570-1032
- Phone Number
- 631-316-4553
License Information
- License Number
- 9884
- License State
- CT
- Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ida Jivotovski?
The NPI number of Ida Jivotovski is 1477229144. It was assigned on August 21, 2021 and is currently active in the NPPES registry.
What is the specialty of Ida Jivotovski?
Ida Jivotovski is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in CT under license number 9884.
Where does Ida Jivotovski practice?
The practice location is 1200 High Ridge RD Ste 3, Stamford, CT 06905-1202. The office can be reached at 465-813-2176 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477229144 directly on the NPPES registry website.