Individual provider Active NPI

Dina Israelov, CM

  • Advanced Practice Midwife
  • Brooklyn, NY
National Provider Identifier
1992130348
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F001603 Issued in NY
Practice address
1180 Brighton Beach Ave Ste 1
Brooklyn, NY 11235-5876
Phone
(718) 833-8777
Fax
(718) 646-8400
NPI assigned
Sep 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F001603 NY Primary
Medical Physician Assistant 363AM0700X P90263 NY

Addresses

Primary practice location

1180 Brighton Beach Ave Ste 1
Brooklyn, NY 11235-5876

Mailing address

1180 Brighton Beach Ave Ste 1
Brooklyn, NY 11235-5876
Phone (718) 833-8777

Other practice location 1

200 Garden City Plz
Suite 100
Garden City, NY 11530-3301
Phone (516) 663-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171023000039 NY Practitioner - Certified Nurse Midwife (CNM) 8921374877 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brighton Medical Care Ny PLLCGroup PAC ID 7810275377, 16 clinicians
Bukhman MD PCGroup PAC ID 2961402946, 8 clinicians
Sla Associates LLCGroup PAC ID 4981994621, 26 clinicians
Org Medical PLLCGroup PAC ID 7315016250, 7 clinicians

Practice addresses (Care Compare)

1009 Brighton Beach Ave
Suite 2
Brooklyn, NY 11235-5621
Phone (718) 975-8500

11129 Queens Blvd
Forest Hills, NY 11375-5553
Phone (718) 275-8900

209 Ave P
Brooklyn, NY 11204-4903
Phone (718) 676-4500

2256 2ND Ave
FL 3
New York, NY 10029-2202
Phone (212) 758-7777

2846 Stillwell Ave
Brooklyn, NY 11224-2624
Phone (718) 259-6600

2882 W 15TH St
Suite 1
Brooklyn, NY 11224-2744
Phone (718) 766-5419

2882 W 15TH STR
Upper Floor
Brooklyn, NY 11224-2744

445 Kings Hwy
Suite 2
Brooklyn, NY 11223-1780
Phone (718) 645-0300

99 Moore St
1A
Brooklyn, NY 11206-3329
Phone (718) 387-0555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
001603NYMDBehavioral Analyst
P90263NYMDMedical Physician Assistant
F001603NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Bukhman MD PC CurrentSince Aug 26, 2017 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Feb 12, 2018 Accepting new patients
Sla Associates LLC CurrentSince Jan 2, 2023 Accepting new patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Kakossian Medical Woman Care PC CurrentSince Sep 1, 2018 Accepting new patients
Medex Diagnostic and Treatment Center LLC CurrentSince Feb 6, 2025 Accepting new patients
Org Medical PLLC CurrentSince Aug 26, 2017 Accepting new patients
Brighton Medical Care Ny PLLC CurrentSince Aug 1, 2025 Accepting new patients
Interborough Developmental and Consultation Center, Inc. Current Accepting new patients
K & K Grand Park LLC Past Accepting new patients

Locations

2846 Stillwell Ave
Brooklyn, NY 11224
Phone (718) 259-6600

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

201 Kings Hwy
Brooklyn, NY 11223
Phone (929) 446-4500

1180 Brighton Beach Ave
Ste 1
Brooklyn, NY 11235
Phone (718) 833-8777

1623 Kings Hwy
Brooklyn, NY 11229
Phone (718) 307-6800

1009 Brighton Beach Ave
Ste 2
Brooklyn, NY 11235
Phone (718) 231-4123

445 Kings Hwy
Ste 2
Brooklyn, NY 11223
Phone (718) 375-6001

11129 Queens Blvd
Forest Hills, NY 11375
Phone (718) 275-8900

2256 2nd Ave
Fl 3
New York, NY 10029
Phone (212) 222-0075

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/cybermed_idcc

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992130348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 BRIGHTON BEACH AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355876",
            "telephone_number": "718-833-8777",
            "fax_number": "718-646-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BRIGHTON BEACH AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355876",
            "telephone_number": "718-833-8777",
            "fax_number": "718-646-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Garden City Plz",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115303301",
            "country_code": "US",
            "telephone_number": "516-663-6400",
            "fax_number": "516-307-8840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISRAELOV",
        "first_name": "DINA",
        "credential": "CM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001603",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "P90263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.