Shulamit Ilyabayev

Primary specialty

OptometristTaxonomy code 152W00000X

License

270A00718300 Issued in NJ

Practice address

1075 Easton Ave Ste 1-2B
Somerset, NJ 08873-1648

Phone

(732) 214-1600

NPI assigned

Feb 15, 2023

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

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ehg NJ Service LLCGroup PAC ID 9335556315, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ehg NJ Service LLC

  • Optometrist
  • Springfield, NJ
  • NPI 1285222877
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1033817499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 EASTON AVE STE 1-2B",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731648",
            "telephone_number": "732-214-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 EASTON AVE STE 1-2B",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731648",
            "telephone_number": "732-214-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILYABAYEV",
        "first_name": "SHULAMIT",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00718300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wael S Ibrahim, DMD
• Ignite Teen Treatment, LLC
• Katherine Elizabeth Iko
• Noel Ilogu, MD
• Elizabeth Ifeyinwa Ilukwe, NP
• Imperfectly Perfect Counseling and Consultation Oh
• Imperfectly Perfect Counseling and Wellness Center
• Anne Inacay, DPT
• Leslie Karen Ince, LMHC, LMSW
• Infiniti Medical Solutions, LLC

• Optometrist in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.