Individual provider Active NPI

Oxana Djalilov, FNP

  • Family Nurse Practitioner
  • Bethlehem, PA
National Provider Identifier
1790518306
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
355290 Issued in NY
Practice address
5325 Northgate Dr Ste 200
Bethlehem, PA 18017-9413
Phone
(484) 222-4646
NPI assigned
Aug 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 355290 NY Primary
Wound Care Registered Nurse 163WW0000X 783609 NY

Addresses

Primary practice location

5325 Northgate Dr Ste 200
Bethlehem, PA 18017-9413

Mailing address

5325 Northgate Dr Ste 200
Bethlehem, PA 18017-9413
Phone (484) 222-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
783609NYMDWound Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Female Pelvic Reconstructive Surgery PLLC CurrentSince Sep 24, 2024 Accepting new patients

Locations

1605 Voorhies Ave
Ste 1
Brooklyn, NY 11235
Phone (347) 492-6722

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.

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1790518306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 NORTHGATE DR STE 200",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179413",
            "telephone_number": "484-222-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 NORTHGATE DR STE 200",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179413",
            "telephone_number": "484-222-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJALILOV",
        "first_name": "OXANA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355290",
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NY",
            "license": "783609",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.