Individual provider Active NPI

Ilona Albertivna Shylinska, M.D.

  • Obstetrics & Gynecology Physician
  • Bronx, NY
National Provider Identifier
1013145663
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
274149 Issued in NY
Practice address
4422 Third Avenue
2ND Floor Annex BLDG.
Bronx, NY 10457
Phone
(718) 960-9415
Fax
(718) 960-9414
NPI assigned
Jun 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X GA
Obstetrics & Gynecology Physician 207V00000X 274149 NY Primary

Addresses

Primary practice location

4422 Third Avenue
2ND Floor Annex BLDG.
Bronx, NY 10457

Mailing address

4422 Third Avenue
2ND FL. Annex BLDG. St. Barnchos OB/GYN. P.C.
Bronx, NY 10457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141107000467 NY Practitioner - Obstetrics/Gynecology 3577785526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sun River Health Inc.Group PAC ID 6608783568, 246 clinicians
Century Medical and Dental Center IncGroup PAC ID 8729070669, 107 clinicians

Practice addresses (Care Compare)

1037 Main St
Peekskill, NY 10566-2913
Phone (914) 734-8800

1200 Brown St
Peekskill, NY 10566-2913

827 11TH Ave
New York, NY 10019-3535
Phone (212) 369-5566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sun River Health Inc. CurrentSince May 28, 2023 Accepting new patients
Sun River Health Inc Current Accepting new patients
Century Medical & Dental Center Inc CurrentSince Jun 1, 2022 Accepting new patients
Sun River Health Inc CurrentSince May 28, 2023 Accepting new patients
St. Barnabas Orthopedic Surgery Practice PC Past Accepting new patients
Suny Downstate Medical Center Past Accepting new patients
Niranjan K Mittal, Physician, PLLC PastSince Jun 1, 2022 Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

820 Saint Anns Ave
Bronx, NY 10456
Phone (718) 215-8280

4377 Bronx Blvd
Bronx, NY 10466
Phone (718) 325-0700

260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855

200 Livingston St
Brooklyn, NY 11201
Phone (718) 522-3399

827 11th Ave
New York, NY 10019
Phone (212) 257-9778

Networks

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

Interoperability endpoints

  • Direct secure messaging: ilona.shylinska@hrh.eclinicaldirectplus.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1013145663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 THIRD AVENUE",
            "address_2": "2ND FL. ANNEX BLDG. ST. BARNCHOS OB/GYN. P.C.",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 THIRD AVENUE",
            "address_2": "2ND FLOOR ANNEX BLDG.",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10457",
            "telephone_number": "718-960-9415",
            "fax_number": "718-960-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHYLINSKA",
        "first_name": "ILONA",
        "middle_name": "ALBERTIVNA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "274149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.