PAOULINA STANISLAVOVA IVANOVA MD
NPI 1659952828
Student in an Organized Health Care Education/Training Program in Flushing, NY

Active since April 19, 2021
5645 MAIN ST, FLUSHING, NY 11355(718) 661-8950 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2026, Apr 19, 2021 (2 updates tracked since 2021).

About Paoulina Stanislavova Ivanova Md NPPES

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

PAOULINA STANISLAVOVA IVANOVA MD (NPI 1659952828) is an individual student in an organized health care education/training program in Flushing, New York and active in the NPI registry since April 2021. She maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1659952828
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePAOULINA STANISLAVOVA IVANOVACredential: MD
Location Address5645 MAIN STFlushing, NY 11355-5045
Mailing Address311 E Mandalay DrSan Antonio, TX 78212-1743 · (210) 204-8499
Sole ProprietorNo
Enumeration DateApril 19, 2021
Last NPPES UpdateJune 4, 20262 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
NPI 1659952828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X
5645 MAIN ST, Flushing, NY 11355

Secondary Practice Location 1

Location 1355 Bard AveStaten Island, NY 10310-1699 · Phone (718) 818-2768

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Anesthesiology
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Nurse Practitioner (Family)
5645 MAIN ST
FLUSHING, NY 11355

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 Paoulina Ivanova's NPI number?

The NPI number for Paoulina Ivanova is 1659952828. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Where is Paoulina Ivanova located?

Paoulina Ivanova practices at 5645 Main St, Flushing, NY 11355. The listed phone number is (718) 661-8950.

What is Paoulina Ivanova's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Paoulina Ivanova was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.