Individual provider Active NPI

Igor Fishkin, MD

  • Vascular & Interventional Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1225108673
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
225452 Issued in NY
Practice address
4802 10TH Ave
Brooklyn, NY 11219-2916
Phone
(718) 283-8773
Fax
(718) 283-8796
NPI assigned
Nov 9, 2006
Last updated
Oct 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 225452 NY Primary
Diagnostic Ultrasound Physician 2085U0001X 225452 NY

Addresses

Primary practice location

4802 10TH Ave
Brooklyn, NY 11219-2916

Mailing address

Gpo Box 27097
New York, NY 10087-7097
Phone (718) 283-8773

Other practice location 1

2157 White Plains Rd
Bronx, NY 10462-1405
Phone (718) 301-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050328001119 NY Practitioner - Diagnostic RadiologyPractitioner - General SurgeryPractitioner - Interventional Radiology 5092761593 Reassigns benefits to 12 organizations
I20250124000578 NJ Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5092761593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: General Surgery
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians
Ancillary Services of Practice Associates PAGroup PAC ID 4981026192, 99 clinicians

Practice addresses (Care Compare)

234 E 149 St
Bronx, NY 10451-5504
Phone (718) 579-6101

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone (908) 850-6842

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Kings Physician Services, PC Vascular & Interventional Radiology CurrentSince May 1, 2021 Accepting new patients
Quality Medical Management Corp CurrentSince Dec 7, 2021 Accepting new patients
Ancillary Services of Practice Associates PA Vascular & Interventional Radiology CurrentSince Dec 23, 2024 Accepting new patients
Hunterdon Ambulatory Services LLC CurrentSince Dec 23, 2024 Accepting new patients
Empire State Radiology P C Vascular & Interventional Radiology CurrentSince Mar 13, 2024 Accepting new patients
Women's Healthcare Imaging, Corp. CurrentSince Jan 9, 2025 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Feb 9, 2023 Accepting new patients
Kings Physician Services, PC CurrentSince May 1, 2021 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Apr 21, 2024 Accepting new patients
New York City Healthcare Medical Services LLC CurrentSince Jul 6, 2026 Accepting new patients
Harlem Medical Associates PC CurrentSince Jan 1, 2011 Accepting new patients
Norwood Professional Medical Services of New York LLC CurrentSince Nov 1, 2018 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Apr 21, 2024 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
New York Professional Medical Services LLC CurrentSince Dec 30, 2017 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Oct 30, 2011 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Sep 24, 2018 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Oct 30, 2011 Accepting new patients
Mott Haven Professional Medical of New York LLC CurrentSince Mar 28, 2018 Accepting new patients
Atlantic Imaging Services LLC Vascular & Interventional Radiology CurrentSince Dec 23, 2024 Accepting new patients
Maimonides Medical Center Interventional Radiology FPP Past Accepting new patients
Vascular Anesthesia Associates PLLC PastSince Mar 28, 2018 Accepting new patients
Maimonides Medical Center - Interventional Neuro Associates FPP Past Accepting new patients
Maimonides Medical Center - MMC Radiology FPP Past Accepting new patients
Lincon Medical and Mental Center Diagnostic Ultrasound Past Accepting new patients

Locations (25 of 62)

471 Broadway
Ste 400
Bayonne, NJ 07002
Phone (973) 436-0511

100 Commerce Pl
Clark, NJ 07066
Phone (732) 388-2620

140 Central Ave
Ste 600
Clark, NJ 07066
Phone (732) 943-5030

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

175 High St
Newton, NJ 07860
Phone (973) 383-2121

3025 Paramus Park Mall
Ste 300
Paramus, NJ 07652
Phone (201) 267-6889

10 Lanidex Plz W
Ste 125
Parsippany, NJ 07054
Phone (973) 267-1274

1000 Galloping Hill Rd
Union, NJ 07083
Phone (908) 522-6280

4025 Hempstead Tpke
Ste A
Bethpage, NY 11714
Phone (646) 798-8502

4025 Hempstead Tpke
Ste B
Bethpage, NY 11714
Phone (929) 207-9470

11 E Fordham Rd
Ste B
Bronx, NY 10468
Phone (718) 301-1009

2157 White Plains Rd
Bronx, NY 10462
Phone (347) 824-8065

2157 White Plains Rd
Ste A
Bronx, NY 10462
Phone (347) 532-1845

2157 White Plains Rd
Ste B
Bronx, NY 10462

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

3485 Jerome Ave
#A
Bronx, NY 10467
Phone (347) 547-3099

384 E 149th St
Ste 201A
Bronx, NY 10455
Phone (844) 723-7240

384 E 149th St
Ste 201B
Bronx, NY 10455
Phone (347) 897-5441

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

545 E 142nd St
Bronx, NY 10454
Phone (718) 579-3090

947 Southern Blvd
Ste A
Bronx, NY 10459
Phone (718) 513-5855

947 Southern Blvd
Ste B
Bronx, NY 10459
Phone (718) 513-5855

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ifishkin20510@sbhny.direct-ci.net
  • Direct secure messaging: ifishkin675486@nychhc.direct-ci.com
  • Direct secure messaging: igf9002@direct.nyp.org

Organizations & group practices 27

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 27

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1225108673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GPO BOX 27097",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100877097",
            "telephone_number": "718-283-8773",
            "fax_number": "718-283-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "718-283-8773",
            "fax_number": "718-283-8796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2157 White Plains Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104621405",
            "country_code": "US",
            "telephone_number": "718-301-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHKIN",
        "first_name": "IGOR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "225452",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NY",
            "license": "225452",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.