Violeta Izrailov, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

F309530 Issued in NY

Practice address

7529 187TH St
Fresh Meadows, NY 11366-1725

Phone

(917) 579-7776

NPI assigned

Nov 2, 2020

Last updated

Nov 2, 2020By 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

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Relief Leaf NP Family Health PCGroup PAC ID 7315356177, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Relief Leaf NP Family Health PC

  • Family Nurse Practitioner
  • Flushing, NY
  • NPI 1881288421

  Gerontology

  Medicare reassignment Care Compare group NPD
• VI Fitness Inc

  • Nurse Practitioner
  • Fresh Meadows, NY
  • NPI 1811765480
  NPD Authorized official
• Anr Family Medicine Inc

  • Family Medicine Physician
  • Flushing, NY
  • NPI 1487482691
  NPD (past)

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1356942957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7529 187TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661725",
            "telephone_number": "917-579-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7529 187TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661725",
            "telephone_number": "917-579-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZRAILOV",
        "first_name": "VIOLETA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F309530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Ismailov, MS CCC-SLP
• Elizabeth Ismailova, M.A., CCC-SLP
• Rhonda Phyllis Israel, MA, CCC-SLP
• David Y Issever
• Ivs Pharmacy Corp
• Israt Jahan
• Anna Jakimiuk-Chu
• Leonard P James, M.D., PH.D.
• Meira Jaskiel, DDS
• Roberto Gonzaga Javier, RN

• Gerontology Nurse Practitioner in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Gerontology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.