Alexander Eugene Istomin MD, MD, MS, MS

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

242862 Issued in ZZ

Practice address

8708 Justice Ave
Suite 2E
Elmhurst, NY 11373-4575

Phone

(718) 554-7434

Fax

(718) 554-1666

NPI assigned

May 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine, Master of Science

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.

• Florida Medical and Diagnostic Center

  • Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1942860093
  NPD
• New York Medical Center

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1699297861
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1235185778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115680095",
            "telephone_number": "718-554-7434",
            "fax_number": "718-554-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8708 JUSTICE AVE",
            "address_2": "SUITE 2E",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734575",
            "telephone_number": "718-554-7434",
            "fax_number": "718-554-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISTOMIN MD",
        "first_name": "ALEXANDER",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "MD, MS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 9238727",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F304254",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ZZ",
            "license": "242862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Qamrul Islam, MD
• Muhammad Shariful Islam, FNP-BC
• Noor Afza Islam, M.D.
• Minisha Ashin Israni, DDS
• Mohamed Issa, PHARMD
• Yasmin Itshakov
• Peter Iucciolino, PT
• Yerucham Yuriel Izraelov, MD
• Emma Izrailova, RN, FNP-BC
• Juliana Izzo

• Internal Medicine Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.