Individual provider Active NPI

Ilvira D'Atri, DPM

  • Foot & Ankle Surgery Podiatrist
  • Haworth, NJ
National Provider Identifier
1801167150
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006443 Issued in NY
Practice address
57 Harrison St
Haworth, NJ 07641-1920
Phone
(917) 620-9187
NPI assigned
Jan 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 006443 NY Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00312800 NJ

Addresses

Primary practice location

57 Harrison St
Haworth, NJ 07641-1920

Mailing address

3049 Brighton 6TH St
Brooklyn, NY 11235-6409
Phone (917) 620-9187

Other names 1

  • Dr. Ilvira Isyanova Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120712000863 NY Practitioner - Podiatry 8123288644 Practice locations: Brooklyn, NY
I20120921000046 NJ Practitioner - Podiatry 8123288644 Reassigns benefits to 1 organization
Practice locations: Englewood, NJ; Haworth, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

214 Engle St
Suite 21
Englewood, NJ 07631-2418
Phone (201) 894-8861

57 Harrison St
Haworth, NJ 07641-1920
Phone (917) 620-9187

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue75
Removal of skin lesions23
Removal of nail tissue3302
Removal or shaving of skin growth2692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Happy and Healthy Feet LLC Foot & Ankle Surgery CurrentSince Jul 1, 2014 Accepting new patients
Happy & Healthy Feet PC Foot & Ankle Surgery Past Accepting new patients
Oleg Karpenko Podiatry P.C. Foot & Ankle Surgery Past Accepting new patients

Locations

214 Engle St
Ste 21
Englewood, NJ 07631
Phone (201) 894-8861

Organizations & group practices 3

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": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1801167150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3049 BRIGHTON 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356409",
            "telephone_number": "917-620-9187",
            "fax_number": "718-934-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 HARRISON ST",
            "city": "HAWORTH",
            "state": "NJ",
            "postal_code": "076411920",
            "telephone_number": "917-620-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ATRI",
        "first_name": "ILVIRA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006443",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00312800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILVIRA",
            "last_name": "ISYANOVA",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Haworth, NJ

Sources for this page

Verify at the official NPI Registry.