Active NPI
Daniel Ilg, MS, CGC
- Genetic Counselor (M.S.)
- New York, NY
National Provider Identifier
1740972785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Practice address
- 210 E 64TH St FL 1
New York, NY 10065-7471 - Phone
- (212) 434-4241
- Fax
- (212) 327-2229
- NPI assigned
- May 25, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | Primary |
Addresses
Primary practice location
210 E 64TH St FL 1
New York, NY 10065-7471
Mailing address
210 E 64TH St FL 1
New York, NY 10065-7471
Phone (212) 434-4241
Other practice location 1
340 Evergreen Ave Apt 519
Brooklyn, NY 11221-6633
Phone (212) 434-4241
Other practice location 2
330 Community Dr
Lower Level, Ambulatory Surgery Building
Manhasset, NY 11030
Phone (516) 562-2229
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)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1740972785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E 64TH ST FL 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657471",
"telephone_number": "212-434-4241",
"fax_number": "212-327-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E 64TH ST FL 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657471",
"telephone_number": "212-434-4241",
"fax_number": "212-327-2229"
}
],
"practiceLocations": [
{
"address_1": "340 Evergreen Ave Apt 519",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112216633",
"country_code": "US",
"telephone_number": "212-434-4241",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "330 Community Dr",
"address_2": "Lower Level, Ambulatory Surgery Building",
"address_purpose": "LOCATION",
"city": "Manhasset",
"state": "NY",
"postal_code": "11030",
"country_code": "US",
"telephone_number": "516-562-2229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ILG",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "MS, CGC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-25",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.