Ladan Ilkhani, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

264169 Issued in NY

Practice address

985 Cedarbridge Ave
Brick, NJ 08723-4167

Phone

(732) 477-5600

Fax

(732) 477-1899

NPI assigned

Feb 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ladan Ilkhanizadeh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 5, 2024 through Mar 5, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: ladan.ilkhani@direct.hackensackmeridian.org
• Direct secure messaging: ladan.ilkhani.1@30253.direct.athenahealth.com

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1023315918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 CEDARBRIDGE AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234167",
            "telephone_number": "732-477-5600",
            "fax_number": "732-477-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 CEDARBRIDGE AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234167",
            "telephone_number": "732-477-5600",
            "fax_number": "732-477-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILKHANI",
        "first_name": "LADAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-11",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "264169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LADAN",
            "last_name": "ILKHANIZADEH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey Jordan Hurewitz, D.C.
• Asim Hussain, MD
• Danielle Jeanette Hutchins, MS
• Valerie J Hutchison-Daniluk, D.C.
• Jose I Iglesias, DO
• Shama Ilyas, MD
• Ayesha Imtiaz, MD
• Fahim Imtiaz, MBBS
• Daisy Ingenito, OTR
• Inner Imagination, LLC

• Internal Medicine Physician in Brick, NJ
• Providers in Brick, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.