Ilanit Rafaelov

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

1218608181 Issued in NY

Practice address

50-28 Utopia Pkwy
Fresh Meadows, NY 11365-1136

Phone

(917) 214-5244

NPI assigned

Apr 13, 2018

Last updated

Apr 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• Ilanits Childcare Inc

  • Early Intervention Provider Agency
  • Mineola, NY
  • NPI 1609472653
  NPD Authorized official

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1689161820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50-28 UTOPIA PKWY",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11365",
            "telephone_number": "917-214-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50-28 UTOPIA PKWY",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651136",
            "telephone_number": "917-214-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFAELOV",
        "first_name": "ILANIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1218608181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queens Herald Community Corporation
• Queens Medical Associates PC
• Queens Nephrology Practice, PC
• Claudia Elisa Quijano, M.S EDUCATION
• Rachel Sisser MD PC
• Joseph Tzvi Raff, M.S.E.D
• Humaira Rahman
• Numaira Rahman
• Pearlina Rainford, NP
• Nila Raja, RPH

• Early Intervention Provider Agency in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.