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ILYA BADALOV PHYSICIAN PC
NPI 1962655167
Colon & Rectal Surgery in Flushing, NY

Active since October 31, 2008
13511 78TH DR, FLUSHING, NY 11367(718) 847-9329 Get Directions Write a Review

NPPES record last updated: October 31, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ilya Badalov Physician Pc NPPES

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

ILYA BADALOV PHYSICIAN PC (NPI 1962655167) is a healthcare organization registered as a colon & rectal surgery in Flushing, New York and active in the NPI registry since October 2008. The organization lists Ilya Badalov, President, as its authorized official.

NPPES Registry Identity

NPI1962655167
Entity TypeOrganization
Primary Taxonomy208C00000X
Legal Business NameILYA BADALOV PHYSICIAN PC
Location Address13511 78TH DRFlushing, NY 11367-3235
Mailing Address13511 78th DrFlushing, NY 11367-3235 · (718) 847-9329
Phone(718) 847-9329
Organization SubpartNo
Authorized OfficialIlya BadalovPresident · (718) 847-9329
Enumeration DateOctober 31, 2008
✔ NPI 1962655167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Definition
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.
13511 78TH DR, Flushing, NY 11367
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DAVID BADALOV
Dentist
13511 78TH DR
FLUSHING, NY 11367
Queens County (646) 441-7711

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 Ilya Badalov Physician PC's NPI number?

The NPI number for Ilya Badalov Physician PC is 1962655167. It was assigned to this organization in the NPPES registry on October 31, 2008.

Where is Ilya Badalov Physician PC located?

Ilya Badalov Physician PC is located at 13511 78th Dr, Flushing, NY 11367. The listed phone number is (718) 847-9329.

What is Ilya Badalov Physician PC's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

When was this NPI record last updated?

The NPPES record for Ilya Badalov Physician PC was last updated on October 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.