Diemmai Ilustre, R.N.

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

673155 Issued in NY

Practice address

1315 York Ave
New York, NY 10021-5304

Phone

(212) 746-5789

Fax

(212) 746-8144

NPI assigned

Feb 6, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1013331370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 MIDDLETOWN RD APT 3G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615360",
            "telephone_number": "832-630-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215304",
            "telephone_number": "212-746-5789",
            "fax_number": "212-746-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILUSTRE",
        "first_name": "DIEMMAI",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NY",
            "license": "673155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilkka Ilonen, MD, PHD
• Alfred Marc Calo Iloreta Jr., M.D.
• June Ilowite
• David H Ilson, MD
• Erica Ilton
• Oluponle Iluyomade, MD
• Ilya Miloslavskiy DDS PLLC
• Michael Ilyabayev
• Milana Ilyadzhanova
• Benedikt Ilyaguyev

• Infusion Therapy Registered Nurse in New York, NY
• Providers in New York, NY by specialty
• Infusion Therapy Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.