Active NPI
Igor Ilyabayev, D.D.S.
- Dentist
- Valley Stream, NY
National Provider Identifier
1013188242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 052814
- Practice address
- 125 N Central Ave Ste B
Valley Stream, NY 11580-3822 - Phone
- (516) 887-0020
- Fax
- (516) 887-0080
- NPI assigned
- Mar 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 052814 | NY | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 52814 | NY |
Addresses
Primary practice location
125 N Central Ave Ste B
Valley Stream, NY 11580-3822
Mailing address
125 N Central Ave Ste B
Valley Stream, NY 11580-3822
Phone (516) 887-0020
Other practice location 1
150 E 55th St Fl 7
New York, NY 10022-4514
Phone (646) 741-4294
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03168361 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E 55TH Street Dental | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
| Igor Ilyabayev D.D.S., P.C. | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- New York, NY
- NPI 1699608109
Durable Medical Equipment & Medical Supplies
-
- General Practice Dentistry
- Valley Stream, NY
- NPI 1093045361
Durable Medical Equipment & Medical Supplies
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1013188242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 N CENTRAL AVE STE B",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115803822",
"telephone_number": "516-887-0020",
"fax_number": "516-887-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 N CENTRAL AVE STE B",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115803822",
"telephone_number": "516-887-0020",
"fax_number": "516-887-0080"
}
],
"practiceLocations": [
{
"address_1": "150 E 55th St Fl 7",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100224514",
"country_code": "US",
"telephone_number": "646-741-4294",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ILYABAYEV",
"first_name": "IGOR",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-15",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "052814",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": "52814",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03168361",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.