NPIMap

Organization Active NPI

Boris Israilov DDS PLLC

  • General Practice Dentistry
  • Levittown, NY
National Provider Identifier
1922740877
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BORIS ISRAILOV DDS PLLC
Practice address
3601 Hempstead Tpke Ste 100
Levittown, NY 11756-1376
Phone
(516) 579-7300
NPI assigned
Apr 11, 2022
Last updated
Apr 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Dr. Boris Israilov, DDSNPI 1679922280
Title
Dentist
Phone
(516) 579-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3601 Hempstead Tpke Ste 100
Levittown, NY 11756-1376

Mailing address

3601 Hempstead Tpke Ste 100
Levittown, NY 11756-1376
Phone (516) 579-7300

National Provider Directory

National Provider Directory

Locations

3601 Hempstead Tpke
Ste 100
Levittown, NY 11756
Phone (516) 579-7300

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1922740877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 HEMPSTEAD TPKE STE 100",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561376",
            "telephone_number": "516-579-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 HEMPSTEAD TPKE STE 100",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561376",
            "telephone_number": "516-579-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIS ISRAILOV DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "ISRAILOV",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "516-579-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.