Dr. Ilya Ivanov is a Mount Laurel, New Jersey based psychiatrist with 19 years of experience in Psychiatry. He completed his graduation from Rowan University School Of Osteopathic Medicine in 2005. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Ilya Ivanov is 025MB8329500 for Psychiatry in New Jersey. His current practice location is 100 Century Pkwy Ste 350, Mount Laurel. Patients can reach him at 856-482-9000 or can fax him at 856-482-1159. Dr. Ilya Ivanov is DO in Psychiatry and his NPI number (Unique professional ID assigned by NPPES) is 1487848149. Dr. Ilya Ivanov specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Complete Profile:
Dr. Ilya Ivanov speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Ilya Ivanov
Specialization:
Psychiatry
Gender:
Male
Credentials:
DO
Experience:
19+ years
Medical School Attended:
Rowan University School Of Osteopathic Medicine
Graduation Year:
2005
Accepts Medicare Assignment:
Yes
Practice Address:
100 Century Pkwy Ste 350, Mount Laurel, New Jersey, 08054-1149
Phone:
856-482-9000
Fax:
856-482-1159
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3476691981
Enrollment ID:
I20091103000470
NPI Number:
1487848149
NPI Enumeration Date:
05 Sep, 2007
NPI Last Update On:
14 Mar, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ilya Ivanov are as mentioned below.
License Number
Specialization
State
Status
025MB8329500
Psychiatry
New Jersey
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(310086)
Stratford, NJ
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Ilya Ivanov is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Rowansom Dept Of Psychiatry (4486647708)
18
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Ilya Ivanov such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P00772213
Other
New Jersey
RAILROAD MEDICARE
0211699
Medicaid
New Jersey
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Ilya Ivanov 100 Century Pkwy Ste 350, Mount Laurel, New Jersey
Zip:
08054-1149
Phone Number:
856-482-9000
Fax Number:
856-482-1159
Patients can reach Dr. Ilya Ivanov at 100 Century Pkwy Ste 350, Mount Laurel, New Jersey or can call to book an appointment on 856-482-9000.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.