Active NPI
Ivymaze, LLC
- Specialist
- Brooklyn, NY
National Provider Identifier
1821906199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- IVYMAZE, LLC
- Practice address
- 1101B Liberty Ave
Brooklyn, NY 11208-2945 - Phone
- (917) 402-8232
- NPI assigned
- Aug 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miraflore J Villabrera
- Title
- Ceo
- Phone
- (917) 402-8232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1101B Liberty Ave
Brooklyn, NY 11208-2945
Mailing address
2015 E 61St St
Brooklyn, NY 11234-5907
Phone (917) 402-8232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1821906199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 E 61ST ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345907",
"telephone_number": "917-402-8232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101B LIBERTY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112082945",
"telephone_number": "917-402-8232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IVYMAZE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "VILLABRERA",
"authorized_official_first_name": "MIRAFLORE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "917-402-8232"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.