Ijam Services Inc

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

IJAM SERVICES INC

Practice address

520 Peacock CT
Naperville, IL 60565-4164

Phone

(630) 544-8473

NPI assigned

Jul 17, 2013

Last updated

Jun 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ivan Manikatov, RSANPI 1528208410

Title

Registered Surgical Assistant

Phone

(630) 357-2464

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ivan Atanassov Manikatov, CSA

  • Surgical Physician Assistant
  • Naperville, IL
  • NPI 1528208410
  NPD Authorized official

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686355200000",
    "number": "1891136982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 PEACOCK CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605654164",
            "telephone_number": "630-544-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 PEACOCK CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605654164",
            "telephone_number": "630-544-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IJAM SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2023-06-10",
        "certification_date": "2023-06-10",
        "status": "A",
        "authorized_official_last_name": "MANIKATOV",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "REGISTERED SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "630-357-2464",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Naperville, IL
• Providers in Naperville, IL by specialty
• Surgical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.