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SANDRA IVANOV DO
NPI 1649074758
Student in an Organized Health Care Education/Training Program in Mount Kisco, NY

Active since April 01, 2025PECOS Enrolled
NORTHERN WESTCHESTER HOSPITAL 400 E. MAIN ST, MOUNT KISCO, NY 10549(914) 666-1931 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2025, Apr 1, 2025 (2 updates tracked since 2025).

About Sandra Ivanov Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA IVANOV DO (NPI 1649074758) is an individual student in an organized health care education/training program in Mount Kisco, New York and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chappaqua.

NPPES Registry Identity

NPI1649074758
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSANDRA IVANOVCredential: DO
Location AddressNORTHERN WESTCHESTER HOSPITAL 400 E. MAIN STMount Kisco, NY 10549
Mailing AddressNorthern Westchester Hospital 400 E. Main StMount Kisco, NY 10549 · (914) 666-1931
Phone(914) 666-1931
Sole ProprietorNo
Enumeration DateApril 1, 2025
Last NPPES UpdateJuly 7, 20252 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1649074758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
NORTHERN WESTCHESTER HOSPITAL 400 E. MAIN ST, Mount Kisco, NY 10549
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Secondary Practice Location 1

Location 1480 Bedford RdChappaqua, NY 10514-1715 · Phone (914) 458-8730 · Fax (914) 331-3568

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Ivanov Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Ivanov's NPI number?

The NPI number for Sandra Ivanov is 1649074758. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Sandra Ivanov located?

Sandra Ivanov practices at Northern Westchester Hospital 400 E. Main St, Mount Kisco, NY 10549. The listed phone number is (914) 666-1931.

What is Sandra Ivanov's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sandra Ivanov enrolled in Medicare?

Yes. Sandra Ivanov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sandra Ivanov was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.