Boris Israilov, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

059377-1 Issued in NY

Practice address

9833 64TH Ave
Apt 8B
Rego Park, NY 11374-2544

Phone

(646) 387-3019

NPI assigned

Jun 6, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boris Israilov DDS PLLC

  • General Practice Dentistry
  • Levittown, NY
  • NPI 1922740877
  NPD Authorized official

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1679922280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9833 64TH AVE",
            "address_2": "APT 8B",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742544",
            "telephone_number": "646-387-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9833 64TH AVE",
            "address_2": "APT 8B",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742544",
            "telephone_number": "646-387-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAILOV",
        "first_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "059377-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Isakov, PT, DPT
• Oleg Isakov, MD
• Igor Iskhakov, PHARM D.
• Yelizaveta Iskhakova
• Youanna Israelov
• Dora Israilov, M.A.
• Polina Israilova
• Riveka Israilova
• Susanna Israilova, RN
• Esther Israyelashvili

• Dentist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.

Verify at the official NPI Registry.