Active NPIIndividual providerSole proprietor

Izolda Izmaylova

Nurse Practitioner, Adult Health in Marlboro, New Jersey

NPI Number1235630161
Practice location
41 Eagle RD, Marlboro, NJ 07746-1810
Fax
—
Last updated
February 26, 2018

Izolda Izmaylova is a Nurse Practitioner, Adult Health based in Marlboro, NJ. Izolda Izmaylova practices in Marlboro, NJ. The NPI Number for Izolda Izmaylova is 1235630161 and holds a License No. F308574-1 (NY). The current practice location address for Izolda Izmaylova is 41 Eagle RD, Marlboro, NJ 07746-1810 and can be reached out via phone at 718-283-6000.

Provider Profile Details

NPI Number
1235630161
Provider Name
Izolda Izmaylova
Provider Entity Type
Individual
Gender
Female
Address
41 Eagle RD, Marlboro, NJ 07746-1810
Phone Number
718-283-6000
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
Yes
Provider Enumeration Date
February 26, 2018
Last Update Date
February 26, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Eagle RD
Marlboro, NJ 07746-1810
Zip
07746-1810
Phone Number
718-283-6000
Marlboro, NJ 07746Get directions →

Provider Business Mailing Address Details

Address
41 Eagle RD
Marlboro, NJ 07746-1810
City
Marlboro
State
NJ
Zip
07746-1810
Phone Number
718-790-0815

License Information

License Number
F308574-1
License State
NY
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Izolda Izmaylova?

The NPI number of Izolda Izmaylova is 1235630161. It was assigned on February 26, 2018 and is currently active in the NPPES registry.

What is the specialty of Izolda Izmaylova?

Izolda Izmaylova is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NY under license number F308574-1.

Where does Izolda Izmaylova practice?

The practice location is 41 Eagle RD, Marlboro, NJ 07746-1810. The office can be reached at 718-283-6000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235630161 directly on the NPPES registry website.

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