Isabella Ilarda M.D., P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2064011 Issued in NY

Legal business name

ISABELLA ILARDA M.D., P.C.

Practice address

6112 69TH St
P2
Middle Village, NY 11379-1142

Phone

(718) 416-4600

Fax

(718) 416-4603

NPI assigned

Feb 24, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Terry Sonterre

Title

Billing Manager

Phone

(646) 576-5700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Isabella Ilarda, MD

  • Dermatology Physician
  • Middle Village, NY
  • NPI 1982619318
  Medicare reassignment NPD
• Khawaja Ali Hassan, M.D.

  • Plastic Surgery Physician
  • Rockville Centre, NY
  • NPI 1639265416
  NPD (past)

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1982844411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 69TH ST",
            "address_2": "P2",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791142",
            "telephone_number": "718-416-4600",
            "fax_number": "718-416-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 69TH ST",
            "address_2": "P2",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791142",
            "telephone_number": "718-416-4600",
            "fax_number": "718-416-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISABELLA ILARDA M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "SONTERRE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "646-576-5700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "2064011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Ilarda, MD
• Angelo Joseph Illuzzi, R.PH.
• Infection Prevention Medicine PLLC
• Inner Wellness Mental Health Counseling
• Stephanie Nicole Insalaco
• J Comet Physical Therapy PC
• J Moon Physical Therapy PC
• J Sun Physical Therapy PC
• Charisma James, PA
• Christina Jameson, PA-C

• Dermatology Physician in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.