Individual provider Active NPI

Margarita Israilova

  • Adult Health Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1194083543
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F305894-1 Issued in NY
Practice address
10201 66TH Rd
Forest Hills
Forest Hills, NY 11375-2029
Phone
(718) 830-4216
NPI assigned
Apr 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F305894-1 NY Primary

Addresses

Primary practice location

10201 66TH Rd
Forest Hills
Forest Hills, NY 11375-2029

Mailing address

10201 66TH Rd
Forest Hills
Forest Hills, NY 11375-2029
Phone (718) 830-4216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140417001132 NY Practitioner - Nurse Practitioner 0042442410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology PCGroup PAC ID 3274526850, 67 clinicians

Practice addresses (Care Compare)

5847 188TH St
Fresh Meadows, NY 11365-2201
Phone (718) 357-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F305894-1NYMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology PC CurrentSince May 16, 2023 Accepting new patients
Anthony Buglino DO PLLC PastSince May 16, 2023 Accepting new patients
Howard D. Solomon, DO, PC Past Accepting new patients

Locations

175 I U Willets Rd
Albertson, NY 11507
Phone (516) 333-0222

175 I U Willets Rd
Ste 2
Albertson, NY 11507
Phone (516) 326-4160

10460 Queens Blvd
Ste 1C
Forest Hills, NY 11375
Phone (718) 275-5555

5847 188th St
Fresh Meadows, NY 11365
Phone (718) 357-8200

3751 82nd St
Jackson Heights, NY 11372
Phone (718) 829-9000

6 Lowell Ave
New Hyde Park, NY 11040
Phone (516) 326-4160

4 Technology Dr
Ste 180
Setauket, NY 11733
Phone (631) 587-1132

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: misrailova@advderm.emadirect.md

Organizations & group practices 3

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": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1194083543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 66TH RD",
            "address_2": "FOREST HILLS",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752029",
            "telephone_number": "718-830-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 66TH RD",
            "address_2": "FOREST HILLS",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752029",
            "telephone_number": "718-830-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAILOVA",
        "first_name": "MARGARITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305894-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.