Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Stella Ilyaev, MD

Individual provider Internal Medicine Physician · NPI 1912907742

Dr. Stella Ilyaev, MD is an Internal Medicine in Ridgewood, New York. Qualified in 1988, 38 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
38
Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5629 Metropolitan Ave
Ridgewood, NY 11385-1975
Phone: (718) 418-0300
Fax: (718) 418-0301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 225936 (NY)

Record details

NPI number1912907742
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 22, 2005
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024
Mailing address6411 99th St, Apt #415, Rego Park, NY 11374-2654

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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