Paul Ilan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

050219 Issued in NY

Practice address

14930 88TH St # LL
Howard Beach, NY 11414-1463

Phone

(718) 551-8144

Fax

(718) 843-4716

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1881602134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14930 88TH ST # LL",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141463",
            "telephone_number": "718-551-8144",
            "fax_number": "718-843-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14930 88TH ST # LL",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141463",
            "telephone_number": "718-551-8144",
            "fax_number": "718-843-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILAN",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "050219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02337593",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Howard Beach Podiatry PC
• Howard Healthcare
• Heather Marie Hurley-Cook, P.T.
• Jeanette Catherine Hutter, BS/MS, OTR/L
• Jaclyn Nicole Iacobelli, AUD CCC-A
• Samah Islam
• Richard A Istrico, DO
• Izzo Medical PC
• J.B.S. Physical Therapy PLLC
• J.Furno SLP, P.C.

• Dentist in Howard Beach, NY
• Providers in Howard Beach, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; 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.