Ilmana Fulger, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

243615 Issued in NY

Practice address

4487 3Rd Ave
Fourth Floor Cancer Center
Bronx, NY 10457-1526

Phone

(718) 960-6377

Fax

(718) 960-5522

NPI assigned

Mar 24, 2007

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

Other names 1

• Dr. Ilmana Kornblum Other name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hematology/OncologyAlso: Internal Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SBH Physicians PCGroup PAC ID 3072798941, 178 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Barnabas Hospital Hospital, Bronx, NY, CCN 330399

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: ifulger19163@sbhny.direct-ci.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SBH Physicians, PC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1740595917

  Hematology & Oncology

  Medicare reassignment Care Compare group NPD
• Bronx Comprehensive Hematology-Oncology, PLLC

  • Hematology & Oncology Physician
  • Bronx, NY
  • NPI 1548653132
  NPD (past) Authorized official
• Bronx Comprehensive Hematology-Oncology, PLLC

  • Medical Specialty Clinic/Center
  • Bronx, NY
  • NPI 1609030956
  Authorized official Same address or phone
• SBH Physicians, PC

  • Pediatrics Physician
  • Bronx, NY
  • NPI 1457665937
  NPD
• Ridge Mills Physician Services, PLLC

  • Internal Medicine Physician
  • Rome, NY
  • NPI 1902837321
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Barnabas Hospital

  • General Acute Care Hospital
  • Bronx, NY
  • NPI 1548367873
  Care Compare affiliation

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1265559199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 PARK HILL AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107051436",
            "telephone_number": "914-423-2029",
            "fax_number": "914-423-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4487 3RD AVE",
            "address_2": "FOURTH FLOOR CANCER CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104571526",
            "telephone_number": "718-960-6377",
            "fax_number": "718-960-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULGER",
        "first_name": "ILMANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "243615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILMANA",
            "last_name": "KORNBLUM",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Miranda Wardelle Fugate, BSN, RN
• Joachim Z Fuks, MD
• Maya Fukuda, LMSW
• Bryce Ken Fukunaga, M.D.
• Lorenzo Fulgencio
• Hunter Alan Fulghum, MD
• Melissa Dawn Fulgieri, PSY.D.
• Full Care, Inc.
• Full Circle Health, PLLC
• Full Service Home Care LLC

• Hematology & Oncology Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Hematology & Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.