Ilan Semandov DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ILAN SEMANDOV DO PC

Practice address

1844 E 24TH St
Brooklyn, NY 11229-2426

Phone

(917) 238-7234

NPI assigned

Nov 21, 2022

Organization subpart

No

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

Authorized official

Name

Ilan Semandov, DO

Title

Owner

Phone

(917) 238-7234

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1457060170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 E 24TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292426",
            "telephone_number": "917-238-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 E 24TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292426",
            "telephone_number": "917-238-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILAN SEMANDOV DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "SEMANDOV",
        "authorized_official_first_name": "ILAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-238-7234",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamran Ikram, MD
• Davlatbek Ikromov, RN
• Ugochukwu C. Ikwuakor, LMSW
• Chibuokem Prince Ikwuazom, MD
• Crisanta Hipolito Ilagan, MD
• Ilana Etelzon MD PC
• Ilana Kersch Nutrition PLLC
• Denys Ilchyshyn
• Alexander Ildardashty
• Ilene Z. Coopersmith, M.D., P.C.

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.