Individual provider Active NPI

Valbona Ismailanji, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1831969088
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
307034 Issued in NY
Practice address
69 Furness PL
Staten Island, NY 10314-6205
Phone
(347) 944-4209
NPI assigned
Jan 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 307034 NY
Gerontology Nurse Practitioner 363LG0600X 307034 NY
Primary Care Nurse Practitioner 363LP2300X 307034 NY Primary

Addresses

Primary practice location

69 Furness PL
Staten Island, NY 10314-6205

Mailing address

69 Furness PL
Staten Island, NY 10314-6205
Phone (347) 944-4209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240301001945 NY Practitioner - Nurse Practitioner 5496190308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yoav Borsuk M.D., P.CGroup PAC ID 4587691308, 4 clinicians

Practice addresses (Care Compare)

167 Madison Ave
RM 605
New York, NY 10016-5430
Phone (212) 979-8880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yoav Borsuk MD PC CurrentSince Jan 22, 2024 Accepting new patients

Locations

167 Madison Ave
Rm 605
New York, NY 10016
Phone (212) 979-8880

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": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1831969088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 FURNESS PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146205",
            "telephone_number": "347-944-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 FURNESS PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146205",
            "telephone_number": "347-944-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAILANJI",
        "first_name": "VALBONA",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307034",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "307034",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "307034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.