Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anna Ivanova, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568822047

Anna Ivanova, MD is an Emergency Medicine in New Hyde Park, New York. Qualified in 2020, 6 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

270-05 76th Ave
New Hyde Park, NY 11040
Phone: (718) 470-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Brookdale Plz, Brooklyn, NY 11212-3139 — (718) 240-6347

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 330317 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568822047
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 26, 2016
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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