Active NPI
Anzhelika Ilyayeva, REGISTERED NURSE
- Registered Nurse
- Rockaway, NJ
National Provider Identifier
1437349347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 567896
- Practice address
- 168 Beach 96 Street
Rockaway, NJ 11693 - Phone
- (347) 393-9555
- NPI assigned
- Jul 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 567896 | NY | Primary |
Addresses
Primary practice location
168 Beach 96 Street
Rockaway, NJ 11693
Mailing address
168 Beach 96 Street
Rockaway, NJ 11693
Phone (347) 393-9555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02709135 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 567896 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1437349347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 BEACH 96 STREET",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "11693",
"telephone_number": "347-393-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 BEACH 96 STREET",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "11693",
"telephone_number": "347-393-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILYAYEVA",
"first_name": "ANZHELIKA",
"name_prefix": "Mrs.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-26",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "567896",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02709135",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockaway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.