Andriy Ilashuk, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00631000 Issued in NJ

Practice address

9225 Kennedy Blvd #a
North Bergen, NJ 07047

Phone

(201) 869-2707

NPI assigned

May 5, 2016

Last updated

May 5, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Center for Joint and Spine ReliefGroup PAC ID 3870755960, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andriy.ilashuk@tjasc-nj.direct.office.nextgen.com
• FHIR API: https://fhir4.healow.com/fhir/r4/HBDEDD/Endpoint/HBDEDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Joint and Spine Relief

  • Interventional Pain Medicine Physician
  • Jersey City, NJ
  • NPI 1205121316
  Medicare reassignment Care Compare group NPD
• Alignmed Medical Group NJ, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Fair Lawn, NJ
  • NPI 1245061605
  Medicare reassignment NPD
• Clifton-Wallington Medical Group

  • Internal Medicine Physician
  • Clifton, NJ
  • NPI 1548209315
  Medicare reassignment NPD
• G&S Medical Associates LLC

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1982982336
  Medicare reassignment NPD
• GPS Physician Group of New Jersey, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Voorhees, NJ
  • NPI 1548776008
  Medicare reassignment NPD
• Jersey Rehab PA

  • Physical Medicine & Rehabilitation Physician
  • Belleville, NJ
  • NPI 1629005012
  Medicare reassignment NPD
• Medical Associates of Englewood, PC

  • Internal Medicine Physician
  • Englewood, NJ
  • NPI 1952681918
  Medicare reassignment NPD
• Avalon Medical Center, LLC

  • Clinic/Center
  • New Windsor, NY
  • NPI 1003591447
  Medicare reassignment NPD
• Geps Physician Group of New Jersey PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Kennett Square, PA
  • NPI 1871512038

  Adult Health, NJ

  Medicare reassignment NPD
• Alpha Care Solutions

  • Adult Health Nurse Practitioner
  • East Orange, NJ
  • NPI 1396506614
  NPD Authorized official
• Jersey Rehab, PA

  • Interventional Pain Medicine Physician
  • Rumson, NJ
  • NPI 1629505490
  NPD
• Pathways Medical PLLC

  • Specialist
  • New York, NY
  • NPI 1285314609
  NPD

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1942656285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 KOENIG CT",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 KENNEDY BLVD #A",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "07047",
            "telephone_number": "201-869-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILASHUK",
        "first_name": "ANDRIY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00631000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdulalim Husayni, MD
• Randa Hussein-Badawy, D.O.
• Mohamed Fouad Hussein Sr., PHARMACIST
• Peter John Iannuzzi, D.P.M.
• David Ibrahim, DDS
• Instant MD LLC
• Instant MD LLC
• Instant MD LLC
• Integrated Counseling Services
• Integrity Interventional Pain Management LLC

• Adult Health Nurse Practitioner in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.