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DR. AVIVA IZMAILOV DDS
NPI 1801423058
Dentist - Pediatric Dentistry in Bronx, NY

Active since March 26, 2020
1400 PELHAM PKWY S STE 3NE1, BRONX, NY 10461(718) 918-3419 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2022, Mar 26, 2020 (2 updates tracked since 2020).

About Dr. Aviva Izmailov Dds NPPES

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

DR. AVIVA IZMAILOV DDS (NPI 1801423058) is an individual pediatric dentistry provider in Bronx, New York, licensed in New York (062560) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1801423058
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. AVIVA IZMAILOVCredential: DDS
Location Address1400 PELHAM PKWY S STE 3NE1Bronx, NY 10461-1197
Mailing Address1400 Pelham Pkwy SBronx, NY 10461-1138
Phone(718) 918-3419
Sole ProprietorNo
Enumeration DateMarch 26, 2020
Last NPPES UpdateAugust 15, 20222 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
✔ NPI 1801423058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NY · 062560
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1400 PELHAM PKWY S STE 3NE1, Bronx, NY 10461
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. ERIK TAMBERG DDS
Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S STE 3NE1
BRONX, NY 10461
Bronx County (718) 918-3419
NICHOLAS TERRELL DDS
Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S STE 3NE1
BRONX, NY 10461
Bronx County (718) 918-3180

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 Aviva Izmailov's NPI number?

The NPI number for Aviva Izmailov is 1801423058. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Aviva Izmailov located?

Aviva Izmailov practices at 1400 Pelham Pkwy S Ste 3ne1, Bronx, NY 10461. The listed phone number is (718) 918-3419.

What is Aviva Izmailov's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Aviva Izmailov accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 2 other insurers list Aviva Izmailov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Aviva Izmailov was last updated on August 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.