Active NPI
Ida Ismailer, MD
- Diagnostic Radiology Physician
- New Hyde Park, NY
National Provider Identifier
1649333683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 157451
- Practice address
- 1991 Marcus Ave
New Hyde Park, NY 11042-2057 - Phone
- (516) 354-1600
- Fax
- (516) 941-4677
- NPI assigned
- Dec 19, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 157451 | NY | Primary |
Addresses
Primary practice location
1991 Marcus Ave
New Hyde Park, NY 11042-2057
Mailing address
55 Water St FL 12
New York, NY 10041-0004
Phone (646) 680-2888
Other practice location 1
225 Froehlich Blvd
Woodbury, NY 11797
Phone (718) 459-6500
Other practice location 2
225 Froehlich Blvd
Woodbury, NY 11797
Phone (718) 459-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01143773 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1649333683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WATER ST FL 12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100410004",
"telephone_number": "646-680-2888",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1991 MARCUS AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110422057",
"telephone_number": "516-354-1600",
"fax_number": "516-941-4677"
}
],
"practiceLocations": [
{
"address_1": "225 Froehlich Blvd",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "NY",
"postal_code": "11797",
"country_code": "US",
"telephone_number": "718-459-6500",
"fax_number": "718-830-7272",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 Froehlich Blvd",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "NY",
"postal_code": "11797",
"country_code": "US",
"telephone_number": "718-459-6500",
"fax_number": "718-830-7272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISMAILER",
"first_name": "IDA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "157451",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01143773",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.