Active NPI
Ilvira D'Atri, DPM
- Foot & Ankle Surgery Podiatrist
- Haworth, NJ
National Provider Identifier
1801167150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 006443
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 75 |
| Removal of skin lesions | 23 |
| Removal of nail tissue | 3302 |
| Removal or shaving of skin growth | 2692 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Happy and Healthy Feet LLC | Foot & Ankle Surgery | Current | 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.
-
- Foot & Ankle Surgery Podiatrist
- Haworth, NJ
- NPI 1417337932
-
- Foot & Ankle Surgery Podiatrist
- Brooklyn, NY
- NPI 1427304971
-
- Foot & Ankle Surgery Podiatrist
- Brooklyn, NY
- NPI 1740566140
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.