Individual provider Active NPI

Irina Vilenskaya, MD

  • Internal Medicine Physician
  • Long Branch, NJ
National Provider Identifier
1518064567
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA077167 Issued in NJ
Practice address
127 Pavilion Ave
Long Branch, NJ 07740-6415
Phone
(732) 222-1133
Fax
(732) 222-9345
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA077167 NJ Primary

Addresses

Primary practice location

127 Pavilion Ave
Long Branch, NJ 07740-6415

Mailing address

18 Stillhouse Rd
Millstone Township, NJ 08535-8143
Phone (908) 309-6366

Other identifiers 1

IdentifierTypeStateIssuer
7899203MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000726 NJ Practitioner - Internal Medicine 7012045073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

127 Pavilion Ave
Long Branch, NJ 07740-6415
Phone (732) 222-4740

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA077167NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Irina Vilenskaya MD PC Internal Medicine CurrentSince May 12, 2010 Accepting new patients
Gregory Braslavsky MD PC Past Accepting new patients

Locations

127 Pavilion Ave
Long Branch, NJ 07740
Phone (732) 222-1133

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1518064567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 STILLHOUSE RD",
            "city": "MILLSTONE TOWNSHIP",
            "state": "NJ",
            "postal_code": "085358143",
            "telephone_number": "908-309-6366",
            "fax_number": "512-265-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 PAVILION AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406415",
            "telephone_number": "732-222-1133",
            "fax_number": "732-222-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILENSKAYA",
        "first_name": "IRINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA077167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7899203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.