Active NPI
Dina Israelov, CM
- Advanced Practice Midwife
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- F001603
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001603 | NY | MD | Behavioral Analyst |
| P90263 | NY | MD | Medical Physician Assistant |
| F001603 | NY | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bukhman MD PC | Current | Accepting new patients | |
| Coney Island Medical Practice Plan, P.C. | Current | Accepting new patients | |
| Sla Associates LLC | Current | Accepting new patients | |
| Interborough Developmental and Consultation Center, Inc. | Current | Accepting new patients | |
| Kakossian Medical Woman Care PC | Current | Accepting new patients | |
| Medex Diagnostic and Treatment Center LLC | Current | Accepting new patients | |
| Org Medical PLLC | Current | Accepting new patients | |
| Brighton Medical Care Ny PLLC | Current | 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
- 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.
-
- General Practice Physician
- Brooklyn, NY
- NPI 1528471828
-
- Family Medicine Physician
- New York, NY
- NPI 1013025782
-
dba LSA Recovery
- Case Management Agency
- Brooklyn, NY
- NPI 1588611842
-
- Clinic/Center
- Forest Hills, NY
- NPI 1629001102
-
- Pain Medicine (Anesthesiology) Physician
- Brooklyn, NY
- NPI 1053583682
-
dba IDCC Health Services
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1528447679
-
- Midwife
- Brooklyn, NY
- NPI 1487123501
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
- Obstetrics & Gynecology Physician
- Brooklyn, NY
- NPI 1265673115
-
dba IDCC Health Services
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1912867433
-
- Specialist
- Brooklyn, NY
- NPI 1609312933
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.