Irina Maksumova, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0509870 Issued in NY

Practice address

9015 Queens Blvd
Elmhurst, NY 11373-4900

Phone

(718) 760-1616

Fax

(718) 760-1616

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1740298744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734900",
            "telephone_number": "718-760-1616",
            "fax_number": "718-760-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734900",
            "telephone_number": "718-760-1616",
            "fax_number": "718-760-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131-72 40th Road",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "11354",
            "country_code": "US",
            "telephone_number": "718-587-1111",
            "fax_number": "718-886-3903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKSUMOVA",
        "first_name": "IRINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0509870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025539820",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johan Lyn Abendano Majabague, PT, DPT
• Celia Mak, DPT
• Beatriz Cristina Makhoulian, FNP
• Emma Carolyn Makin, M.A. CF-SLP
• Angeliki Makri, MD
• Hitarth D Makwana
• Albert Malakov, DDS
• Alevtina Malakova, D.D.S.
• Dawn Maldonado, MD
• Vilma Maldonado

• Dentist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.