| Mark Ilyagu Medical PC | |
|
70 E Sunrise Hwy Ste 500 Valley Stream NY 11581-1233 | |
| (717) 716-7107 | |
| Not Available |
| Full Name | Mark Ilyagu Medical PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 70 E Sunrise Hwy Ste 500, Valley Stream, New York |
| Authorized Official Name and Position | Mark Ilyagu (MD) |
| Authorized Official Contact | 7177167107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Ilyagu Medical PC 221 Sea Breeze Ave Apt Ph2b Brooklyn NY 11224-3454 Ph: (717) 716-7107 | Mark Ilyagu Medical PC 70 E Sunrise Hwy Ste 500 Valley Stream NY 11581-1233 Ph: (717) 716-7107 |
| NPI Number | 1619699915 |
|---|---|
| Provider Enumeration Date | 09/13/2022 |
| Last Update Date | 08/25/2026 |
| Certification Date | 08/25/2026 |
| Medicare PECOS PAC ID | 6800272477 |
|---|---|
| Medicare Enrollment ID | O20221005000992 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619699915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Kachi N Nweke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245462084 PECOS PAC ID: 5991831265 Enrollment ID: I20101210000026 |
| Provider Name | Wai L Bong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184020315 PECOS PAC ID: 6901119312 Enrollment ID: I20150714002000 |
| Provider Name | Shuangshuang Weng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568831998 PECOS PAC ID: 6901116862 Enrollment ID: I20151104001837 |
| Provider Name | Watson R Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487913737 PECOS PAC ID: 4183985146 Enrollment ID: I20180709000966 |
| Provider Name | Mark Ilyagu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073994711 PECOS PAC ID: 8820340151 Enrollment ID: I20181015000980 |
| Provider Name | Tanya Bartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902672306 PECOS PAC ID: 9830532803 Enrollment ID: I20240206004355 |
| Provider Name | Shellyann Nakagawa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447547856 PECOS PAC ID: 4385086305 Enrollment ID: I20240522002555 |
| Provider Name | Merlyn Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811718729 PECOS PAC ID: 1759803208 Enrollment ID: I20250313003201 |
| Provider Name | Si M Bong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366077968 PECOS PAC ID: 7012490550 Enrollment ID: I20260312001159 |
Miriam Simon, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 878 Longacre Ave, Valley Stream, NY 11581 Phone: 917-687-1931 |
Valley Stream Medical Associates, P.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15 Fletcher Ave, Valley Stream Medical Associates, P.c., Valley Stream, NY 11580 Phone: 516-825-3666 Fax: 516-872-5133 |
East Merrick Medical, PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 E Merrick Rd, Ste 306, Valley Stream, NY 11580 Phone: 516-872-2200 |
Value Based Medicine D PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 E Sunrise Hwy, Valley Stream, NY 11581 Phone: 203-901-2493 Fax: 866-497-2991 |
Germaine Cares Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 30 Marlow Rd, Valley Stream, NY 11580 Phone: 516-707-0399 |
Grsp Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 774 Dumont Pl, Valley Stream, NY 11581 Phone: 732-281-3590 |