Ludmila Israelov

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

814219 Issued in NY

Practice address

775 Longview Ave
Valley Stream, NY 11581-2843

Phone

(917) 971-2718

NPI assigned

Dec 14, 2023

Last updated

Dec 14, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1811765399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 LONGVIEW AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812843",
            "telephone_number": "917-971-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 LONGVIEW AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812843",
            "telephone_number": "917-971-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAELOV",
        "first_name": "LUDMILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "814219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chaim Isaharov
• Howard W Isenberg, MD
• Island Musculoskeletal Care MD PC
• Island Surgical Practice PC
• Eytan Israelov, FNP
• Ruty Israilov
• Michael Yehuda Ivry, DDS
• J & D Chemists, Inc. (DBA Parkdale Pharmacy)
• J Darbouze OT Services PC
• J. Sklar Computers

• Registered Nurse in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.