Individual provider Active NPI

Diana Izhakov

  • Registered Nurse
  • Philadelphia, PA
National Provider Identifier
1093935520
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN598514 Issued in PA
Practice address
10205 Rubin LN
Philadelphia, PA 19116-3768
Phone
(267) 671-8097
NPI assigned
Apr 26, 2007
Reactivated
Jul 22, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN267880 PA
Registered Nurse 163W00000X RN598514 PA Primary

Addresses

Primary practice location

10205 Rubin LN
Philadelphia, PA 19116-3768

Mailing address

9926 Haldeman Ave
Apt A134
Philadelphia, PA 19115-1609
Phone (215) 969-5879

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

State licenses

LicenseStateTypeSpecialty
RN598514PAMDRegistered Nurse
PN267880PAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Maternity Milestones Healthcare LLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1093935520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9926 HALDEMAN AVE",
            "address_2": "APT A134",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151609",
            "telephone_number": "215-969-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10205 RUBIN LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163768",
            "telephone_number": "267-671-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZHAKOV",
        "first_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2026-07-22",
        "certification_date": "2025-05-19",
        "deactivation_date": "2025-06-11",
        "reactivation_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN267880",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN598514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.