Individual provider Active NPI

Igor Ilyabayev, D.D.S.

  • Dentist
  • Valley Stream, NY
National Provider Identifier
1013188242
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
052814 Issued in NY
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

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03168361MedicaidNY

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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.