Infectious Disease Consultant of Long Island PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

222363 Issued in NY

Legal business name

INFECTIOUS DISEASE CONSULTANT OF LONG ISLAND PC

Practice address

1201 Northern Blvd
Suite 300
Manhasset, NY 11030-3037

Phone

(516) 404-0493

NPI assigned

May 21, 2012

Organization subpart

No

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

Authorized official

Name

Yelena Markovskaya, MDNPI 1568592855

Title

Ceo / Owner

Phone

(516) 404-0493

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yelena Markovskaya

  • Infectious Disease Physician
  • Manhasset, NY
  • NPI 1568592855
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1619237807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117530530",
            "telephone_number": "516-404-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NORTHERN BLVD",
            "address_2": "SUITE 300",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303037",
            "telephone_number": "516-404-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE CONSULTANT OF LONG ISLAND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "MARKOVSKAYA",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "516-404-0493",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "222363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexander J Indrikovs, M.D., M.B.A.
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• Infectious Disease Physician in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Infectious Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.

Verify at the official NPI Registry.