IZOLDA IZMAYLOVA
NPI 1235630161
Nurse Practitioner - Adult Health in Marlboro, NJ

Active since February 26, 2018PECOS EnrolledAccepts Medicare Assignment
41 EAGLE RD, MARLBORO, NJ 07746(718) 283-6000 Get Directions Write a Review

NPPES record last updated: February 26, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Izolda Izmaylova NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IZOLDA IZMAYLOVA (NPI 1235630161) is an individual adult health provider in Marlboro, New Jersey, licensed in New York (F308574-1) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1235630161
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameIZOLDA IZMAYLOVA
Location Address41 EAGLE RDMarlboro, NJ 07746-1810
Mailing Address41 Eagle RdMarlboro, NJ 07746-1810 · (718) 790-0815
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 26, 2018
✔ NPI 1235630161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F308574-1
41 EAGLE RD, Marlboro, NJ 07746

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Izolda Izmaylova is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688007156
PECOS Enrollment IDI20201028002448
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Izolda Izmaylova reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 1,177 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07746 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Izolda Izmaylova's NPI number?

The NPI number for Izolda Izmaylova is 1235630161. It was assigned to this individual provider in the NPPES registry on February 26, 2018.

Where is Izolda Izmaylova located?

Izolda Izmaylova practices at 41 Eagle Rd, Marlboro, NJ 07746. The listed phone number is (718) 283-6000.

What is Izolda Izmaylova's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Izolda Izmaylova enrolled in Medicare?

Yes. Izolda Izmaylova is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Izolda Izmaylova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Izolda Izmaylova reassigns Medicare benefits to Maimonides Faculty Practice Plan (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Izolda Izmaylova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Izolda Izmaylova was last updated on February 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.