Active NPI
Lefrak City Family Care,PC
- Family Medicine Physician
- Corona, NY
National Provider Identifier
1477574119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 223885
- Legal business name
- LEFRAK CITY FAMILY CARE,PC
- Practice address
- 9815 Horace Harding Expy
Corona, NY 11368-4249 - Phone
- (718) 699-8500
- NPI assigned
- Jul 21, 2006
- 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
- Dr. Izolda Mikhaylov, DO
- Title
- Medical Director
- Phone
- (718) 469-0890
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 223885 | NY | Primary |
Addresses
Primary practice location
9815 Horace Harding Expy
Corona, NY 11368-4249
Mailing address
785 Van Dam St
Valley Stream, NY 11581-3523
Phone (718) 469-0890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02313197 | Medicaid | NY |
Other names 1
- dr.izolda mikhaylov
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6254 97th Pl
Ste B2
Rego Park, NY 11374
Phone (718) 699-8500
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Rego Park, NY
- NPI 1093734055
-
- Pediatrics Physician
- Rego Park, NY
- NPI 1619089182
-
- Podiatrist
- North Haven, CT
- NPI 1922158666
-
- Clinical Social Worker
- Palo Alto, CA
- NPI 1457544363
-
- Physical Medicine & Rehabilitation Physician
- Roselle, NJ
- NPI 1417053125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477574119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 VAN DAM ST",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115813523",
"telephone_number": "718-469-0890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9815 HORACE HARDING EXPY",
"city": "CORONA",
"state": "NY",
"postal_code": "113684249",
"telephone_number": "718-699-8500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEFRAK CITY FAMILY CARE,PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MIKHAYLOV",
"authorized_official_first_name": "IZOLDA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "718-469-0890",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "223885",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02313197",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "dr.izolda mikhaylov",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.