ILYA BADALOV PHYSICIAN PC (NPI# 1962655167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962655167 |
| Entity Type | Organization |
| Organization Name | ILYA BADALOV PHYSICIAN PC |
| Practice Address |
13511 78th Dr Flushing NY 11367-3235 |
| Practice Telephone | 7188479329 |
| Mailing Telephone | 7188479329 |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |
| Authorized Official Name | ILYA BADALOV (PRESIDENT) |
| Authorized Official Telephone | 7188479329 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
13511 78TH DR |
| City | FLUSHING |
| State | NY |
| Zip Code | 11367-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316441298 | David Badalov | Student in an Organized Health Care Education/Training Program | 13511 78th Dr, Flushing, NY 11367-3235 | 2018-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821638008 | Scarlett Sea | Speech-Language Pathologist | 31-36 88th St, Jackson Heights, NY 11367 | 2020-01-15 |
| 1528612090 | Leora A Shimunov | Specialist | 147-32 70th Ave, Flushing, NY 11367 | 2019-08-01 |
| 1922651918 | Triborough Medical Pllc | Anesthesiology | 150-31 Union Tpke, Office of Daniel Khaimov, Md, Flushing, NY 11367 | 2019-07-19 |
| 1700343993 | Steven Bernard Markowitz | Preventive Medicine | Queens College - 65-30 Kissena Blvd, Commoner Center- Remsen 311, Queens, NY 11367 | 2019-02-25 |
| 1336617406 | Amira Awadallah | Pharmacist | 15315 79 Ave, Flushing, NY 11367 | 2018-11-07 |
| 1336624097 | Diana Yocheved Shalev | Pharmacist | 14905 79th Ave Apt 511, Flushing, NY 11367 | 2018-09-28 |
| 1417447731 | Yashuo Fazilova | Registered Nurse | 144-60 Gravett Road, Apt. 2c, Flushing, NY 11367 | 2018-05-11 |
| 1467951947 | Edward Pineles, M.d., P.C. | Internal Medicine | 69-20 Main Street, Flushing, NY 11367 | 2018-02-09 |
| 1164920500 | L & M Caring Services Inc | Occupational Therapist | 144-29 Melbourne Ave, Flushing, NY 11367 | 2018-01-31 |
| 1720597610 | Christine Simmons | Licensed Practical Nurse | 67-39 Kissena Blvd #1a, Flushing, NY 11367 | 2017-09-24 |
| Find all providers in zip 11367 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598176984 | Roger Patron Lozano | Colon & Rectal Surgery | 56-45 Main St, Flushing, NY 11355-5045 | 2014-05-19 |
| 1063433738 | Christopher M Foglia | Colon & Rectal Surgery | 5645 Main St, W-ll300, Flushing, NY 11355-5045 | 2006-07-21 |
| 1962455808 | Howard I Tiszenkel | Colon & Rectal Surgery | 5645 Main St, W-ll300, Flushing, NY 11355-5045 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477075299 | Colorectal Surgery Services Pllc | Colon & Rectal Surgery | 2200 Northern Blvd Ste 210, Greenvale, NY 11548 | 2017-07-13 |
| 1083157309 | Gadangi Incorporated | Colon & Rectal Surgery | 2583 Ocean Ave Ste 1r, Brooklyn, NY 11229-4575 | 2016-11-18 |
| 1831468966 | Slrhc Faculity Practice | Colon & Rectal Surgery | 425 W 59th St Ste 7b, New York, NY 10019-8022 | 2011-12-19 |
| 1396027207 | Joseph David Mills Jr. | Colon & Rectal Surgery | 1150 Youngs Rd Ste 203, Williamsville, NY 14221-8024 | 2011-09-16 |
| 1386934917 | Giovanni Bonomo | Colon & Rectal Surgery | 256 Mason Ave Bldg C3, Staten Island, NY 10305-3408 | 2011-04-16 |
| 1508189226 | Garden City Colon & Rectal Surgical Practice, P.C. | Colon & Rectal Surgery | 1075 Franklin Ave., Garden City, NY 11530-2930 | 2010-03-09 |
| 1194981506 | Andre Da Luz Moreira | Colon & Rectal Surgery | 530 1st Ave Ste 7v, New York, NY 10016-6402 | 2008-08-05 |
| 1861671653 | Marian Fleischer | Colon & Rectal Surgery | 9707 Fourth Avenue, Brooklyn, NY 11209 | 2007-10-29 |
| 1710023031 | Advanced Colon and Rectal Surgery LLC | Colon & Rectal Surgery | 510 Broadhollow Road, Suite 307, Melville, NY 11747-3710 | 2007-01-30 |
| 1295885036 | C. Gene Cayten | Colon & Rectal Surgery | Olmmc, Department of Surgery, 600 East 233rd St., Bronx, NY 10466 | 2007-01-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ILYA BADALOV PHYSICIAN PC.
| 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.