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

Ida Jivotovski

Individual provider Pediatric Nurse Practitioner · NPI 1477229144

Ida Jivotovski is a Pediatric Nurse Practitioner in Stamford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2021.

Licensed in
CT
In the registry since
2021

Practice location Address checks out

1200 High Ridge Rd Ste 3
Stamford, CT 06905-1202
Phone: (465) 813-2176
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 9884 (CT)

Record details

NPI number1477229144
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 21, 2021
Last updated in NPPESNovember 22, 2024
Certification dateNovember 22, 2024
Mailing address51 Dennis Ln, Pleasantville, NY 10570-1032

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