Isak Isakov Medical, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

220352-1 Issued in NY

Legal business name

ISAK ISAKOV MEDICAL, PC

Practice address

62-60 108TH Street
Suite 1J
Forest Hills, NY 11375

Phone

(718) 275-2224

Fax

(718) 275-5100

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Isaks Isakov, M.D

Title

Psychiatrist

Phone

(718) 275-2224

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

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.

• Isak Isakov

  • Psychiatry Physician
  • Forest Hills, NY
  • NPI 1770521775
  Medicare reassignment Care Compare group NPD
• Svetlana Kachan, LMSW

  • Social Worker
  • Queens, NY
  • NPI 1659678209
  Medicare reassignment Care Compare group NPD
• Meri Nisimova, MD

  • Psychiatry Physician
  • Richmond Hill, NY
  • NPI 1124063219
  Medicare reassignment Care Compare group
• Eva Babekov, NURSE PRACIONER

  • Adult Health Nurse Practitioner
  • Rego Park, NY
  • NPI 1194960112
  NPD (past)
• Shushan Hovanesian

  • Psychiatry Physician
  • Jamaica, NY
  • NPI 1205973807
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1952505968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62-60 108TH STREET",
            "address_2": "SUITE 1J",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-275-2224",
            "fax_number": "718-275-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62-60 108TH STREET",
            "address_2": "SUITE 1J",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-275-2224",
            "fax_number": "718-275-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAK ISAKOV MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "ISAKOV",
        "authorized_official_first_name": "ISAKS",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "718-275-2224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "220352-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02184430",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonietta Inzerelli
• Iod, Inc
• Irina Niazova Nurse Practitioner in Adult Health PC
• Lisa M Irvine
• Shawntaye Isaac
• Maya Isakadze
• Lidiya Isakbaev
• Bella Isakov
• Isak Isakov
• Angelina Isakova, OD

• Psychiatry Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.