Active NPI
Kamilla Ismailoff, MD, PC
- Internal Medicine Physician
- South Richmond Hill, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- KAMILLA ISMAILOFF, MD, PC
- Practice address
- 11014 Liberty Ave FL 1
South Richmond Hill, NY 11419-1706 - Phone
- (347) 414-2345
- Fax
- (929) 380-6020
- NPI assigned
- May 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kamilla Ismailoff, MD
- Title
- Owner
- Phone
- (347) 414-2345
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Diagnostic Radiology Physician | 2085R0202X |
Addresses
Primary practice location
11014 Liberty Ave FL 1
South Richmond Hill, NY 11419-1706
Mailing address
6910 108TH St Apt 9E
Forest Hills, NY 11375-3814
Phone (347) 414-2345
Other names 1
- Kamilla Ismailoff, MD, PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11014 Liberty Ave
#1
South Richmond Hill, NY 11419
Phone (347) 414-2345
11014 Liberty Ave
South Richmond Hill, NY 11419
Phone (347) 414-2345
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- South Richmond Hill, NY
- NPI 1992034961
-
- Cardiovascular Disease Physician
- Hewlett, NY
- NPI 1356398713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771200000000",
"number": "1356134241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6910 108TH ST APT 9E",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753814",
"telephone_number": "347-414-2345",
"fax_number": "929-380-6020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11014 LIBERTY AVE FL 1",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114191706",
"telephone_number": "347-414-2345",
"fax_number": "929-380-6020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAMILLA ISMAILOFF, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-23",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A",
"authorized_official_last_name": "ISMAILOFF",
"authorized_official_first_name": "KAMILLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-414-2345",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kamilla Ismailoff, MD, PC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in South Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.