Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ILYA IVANOV, DO
ActiveDR. ILYA IVANOV, DO is a Psychiatry healthcare provider located in MOUNT LAUREL, New Jersey. NPI 1487848149 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · MOUNT LAUREL, NJ
Registration Details
- NPI Number
- 1487848149
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 5, 2007 (18.917668403923 yrs)
- Last Updated
- Mar 14, 2024
- License
-
025MB8329500 (NJ)
Practice Information
- Address
-
100 CENTURY PKWY STE 350MOUNT LAUREL, NJ, 080541149Browse NJ providers · Browse ZIP 08054
- Phone
- 8564829000
- Fax
- 8564821159
- Primary Specialty
-
Psychiatry
2084P0800X
Other Psychiatry Providers in MOUNT LAUREL, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN M SCHEINTHAL | D.O. | 1790765196 |
| DR. NAZLI E GULAB | M.D. | 1598736118 |
| DR. MICHAEL J. FRIEDMAN | D.O. | 1104897586 |
| DR. NARSIMHA PINNINTI | M.D. | 1700858222 |
| DR. WALTER J RHOADES | D.O. | 1730152943 |
| S MARK SACHER | D.O. | 1871566828 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.