Organization Active NPI

Avant-Garde Psychiatric Consulting PLLC

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1255849949
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
AVANT-GARDE PSYCHIATRIC CONSULTING PLLC
Practice address
56 Brighton 11TH St
Ste 2a
Brooklyn, NY 11235-5304
Phone
(929) 617-8635
NPI assigned
Jan 16, 2018
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Dr. Igor Kirzhner, MDNPI 1942311915
Title
President
Phone
(917) 881-8685

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
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

56 Brighton 11TH St
Ste 2a
Brooklyn, NY 11235-5304

Mailing address

2512 E 64TH St
Brooklyn, NY 11234-6921

Other identifiers 1

IdentifierTypeStateIssuer
02618160MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180402001830 NY Part B Supplier - Clinic/Group Practice 1456613488 Receives reassigned benefits from 6 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1255849949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 E 64TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 BRIGHTON 11TH ST",
            "address_2": "STE 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355304",
            "telephone_number": "929-617-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANT-GARDE PSYCHIATRIC CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "KIRZHNER",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-881-8685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02618160",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.