NPIMap

Organization Active NPI

Igor Amigud Physician P.C.

  • Specialist
  • New York, NY
National Provider Identifier
1245337989
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
200459 Issued in NY
Legal business name
IGOR AMIGUD PHYSICIAN P.C.
Practice address
211 E 53Rd St
Suite 3-K
New York, NY 10022-4803
Phone
(212) 583-9701
Fax
(212) 583-9709
NPI assigned
Sep 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Igor Amigud, M.D.NPI 1093711475
Title
President
Phone
(212) 583-9701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 200459 NY Primary

Addresses

Primary practice location

211 E 53Rd St
Suite 3-K
New York, NY 10022-4803

Mailing address

211 E 53Rd St
Suite 3-K
New York, NY 10022-4803
Phone (212) 583-9701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050729000667 NY Part B Supplier - Clinic/Group Practice 8729016878 Receives reassigned benefits from 38 practitioners
Practice locations: Brooklyn, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

1460 W 5th St
Ste M1
Brooklyn, NY 11204
Phone (718) 234-2233

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245337989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 53RD ST",
            "address_2": "SUITE 3-K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224803",
            "telephone_number": "212-583-9701",
            "fax_number": "212-583-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 53RD ST",
            "address_2": "SUITE 3-K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224803",
            "telephone_number": "212-583-9701",
            "fax_number": "212-583-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGOR AMIGUD PHYSICIAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMIGUD",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-583-9701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "200459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.