Irma Khurtsilava, MS ED

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

836528 Issued in NY

Practice address

2028 Gates Ave
Apt. 1R
Ridgewood, NY 11385-3003

Phone

(646) 239-3131

NPI assigned

Jun 16, 2012

Last updated

Jun 16, 2012By the provider in NPPES

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

Master of Science

State licenses

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

{
    "created_epoch": "1339804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339804800000",
    "number": "1164785044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 GATES AVE",
            "address_2": "APT 1R",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853003",
            "telephone_number": "646-239-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 GATES AVE",
            "address_2": "APT. 1R",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853003",
            "telephone_number": "646-239-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHURTSILAVA",
        "first_name": "IRMA",
        "name_prefix": "Ms.",
        "credential": "MS ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-16",
        "last_updated": "2012-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "836528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inderjeet Kaur, PHARM-D
• Ad Kavalin, LMSW
• Siratun Jannat Kazi, PHARM. D.
• Iqra Khaleel, PHARMD, RPH
• Mohamed Khallaf
• Brittney Ashley Kildare, CERTIFIED DOULA, CLD
• Paul Y Kim, D.P.M.
• Silvia C Kim
• Lyubov Kimyagarov
• Knickerbocker Dialysis Inc (Ridge Care Dialysis)

• Early Intervention Provider Agency in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2012; 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.