DR. IRINA MIKOLAENKO (NPI# 1245296607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245296607 |
| Entity Type | Individual |
| Full Name | DR. IRINA MIKOLAENKO |
| Credential | MD |
| Practice Address |
560 1st Ave New York NY 10016-6402 |
| Mailing Address |
3131 Princeton Pike Bldg 5 Suite 208 Lawrenceville NJ 08648 |
| Practice Telephone | 2122632269 |
| Practice Fax Number | 2122637916 |
| Mailing Telephone | 6098157829 |
| Mailing Fax Number | 6098157894 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2016-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZN0500X |
Pathology Specialization: Neuropathology |
248672 | NY | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
35088734 | OH | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
40998 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RAILROAD MEDICARE | P00426302 | 01 |
| OH | BCMH | 0127464 | 01 |
| OH | AETNA | 7301634 | 01 |
| OH | BUCKEYE | 744994 | 01 |
| OH | ANTHEM | 000000528774 | 01 |
| OH | 2691298 | 05 | |
| OH | UNISON | 000000224455 | 01 |
| OH | WELLCARE | 363842 | 01 |
| Street Address |
560 1ST AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10016-6402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922007665 | Ruliang Xu | Pathology | 560 1st Ave, Department of Pathology, Nyu Langone Medical Center, New York, NY 10016-6402 | 2005-07-15 |
| 1972159499 | Sophia Donata Scott | Nurse Practitioner | 560 1st Ave, New York, NY 10016-6402 | 2019-08-12 |
| 1255828133 | Guerdelyne Augustin | Nurse Practitioner | 560 1st Ave, New York, NY 10016-6402 | 2018-04-17 |
| 1710483540 | Shannon Brackett | Nurse Practitioner | 560 1st Ave, New York, NY 10016-6402 | 2018-04-02 |
| 1922513829 | Meliza Ruth Weir | Nurse Practitioner | 560 1st Ave, New York, NY 10016-6402 | 2017-12-13 |
| 1306357504 | Hillary Eastman | Social Worker | 560 1st Ave, New York, NY 10016-6402 | 2017-10-16 |
| 1467998724 | Margaret Drysielski | Nurse Practitioner | 560 1st Ave, New York, NY 10016-6402 | 2017-01-11 |
| 1023552643 | Svetlana Pavlovna Buynitsky | Nurse Practitioner | 560 1st Ave, New York, NY 10016-6402 | 2016-12-16 |
| 1770032864 | Laura Diaz | Nurse Practitioner | 560 1st Ave, New York, NY 10016-6402 | 2016-09-29 |
| 1902350671 | Lior Jankelson | Internal Medicine | 560 1st Ave, Cardiac Ep Lab, New York, NY 10016 | 2016-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1972118206 | Trisha Aloquina | Nurse Practitioner | 106 East 32nd St, 102, New York, NY 10016 | 2020-09-14 |
| 1912519950 | Lionel Thompson Jr. | Social Worker | Bellevue Hospital Center Child & Adolescent Psychiatry, 462 First Avenue Administration Bldg. 2nd Fl., New York, NY 10016 | 2020-08-20 |
| 1134755622 | Samantha Caldona | Behavior Technician | 205 East 35 Street, New York, NY 10016 | 2020-03-17 |
| 1104477504 | Jaclyn A. Silverman | Nurse Practitioner | 113 East 39th Street, New York, NY 10016 | 2019-09-26 |
| 1093376147 | Eskue Therapy, LLC | Massage Therapist | 130 East 40 Street, Ste. 1001, New York, NY 10016 | 2019-06-27 |
| 1952962227 | Richard Callado | Nurse Practitioner | 245 5th Ave Ste 336, New York, NY 10016 | 2019-06-26 |
| 1265096754 | Sharon Brenda Madanes | Student in an Organized Health Care Education/Training Program | Nyu Langone, 550 First Ave., New York, NY 10016 | 2019-04-30 |
| 1124589569 | Krupali Chokshi | Student in an Organized Health Care Education/Training Program | Nyu Langone Hospital, 550 First Ave., New York, NY 10016 | 2019-03-28 |
| 1982160909 | Sherell Miriam Harding | Behavioral Analyst | 204 35th St, New York, NY 10016 | 2019-02-14 |
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| Taxonomy Code | 207ZN0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Neuropathology |
| A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619323367 | Osama Ahmad Odeh Al Dalahmah | Pathology | 630 West, 168th Street, Department of Pathology and Cell Biology, Room Ph15-124, New York, NY 10032 | 2016-05-12 |
| 1174771109 | Jason Huse | Pathology | 408 E 69th St # Z1319, New York, NY 10021-5604 | 2008-09-03 |
| 1659399020 | William I Rosenblum | Pathology | 200 E End Ave, Apt 9i, New York, NY 10128-7831 | 2006-07-17 |
| 1588079511 | Richard Andrew Hickman | Pathology | 622 West 168th Street, Columbia University Irving Medical Center, New York, NY 10032 | 2014-06-28 |
| 1144630518 | Gunnar Hargus | Pathology | 622 W 168th St, New York, NY 10032 | 2014-05-06 |
| 1033531488 | Andrew J. Dwork | Pathology | 1051 Riverside Dr, Room 2913, New York, NY 10032-1007 | 2014-01-18 |
| 1780992396 | Benjamin L Liechty | Pathology | 525 E 68th St, New York, NY 10065-4870 | 2010-09-16 |
| 1740423516 | David Jonathan Pisapia | Pathology | 1300 York Ave, Room C-302, New York, NY 10065 | 2009-04-09 |
| 1962661819 | Nadejda Tsankova | Pathology | 622 W 168th St, Ph 1564w, New York, NY 10032-3720 | 2008-06-05 |
| 1346409216 | Andrew Teich | Pathology | 622 W 168th St, Ph 1564w, New York, NY 10032-3720 | 2008-06-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.