Organization Active NPI

Alexey Migirov Medical PC

  • Pain Medicine Physician
  • Staten Island, NY
National Provider Identifier
1306026596
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
223268-1 Issued in NY
Legal business name
ALEXEY MIGIROV MEDICAL PC
Practice address
243 Corbin Ave
Staten Island, NY 10308-1877
Phone
(718) 372-9300
Fax
(718) 837-0460
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Mr. Alexey MigirovNPI 1013089986
Title
MD
Phone
(718) 372-9300

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
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 223268-1 NY Primary

Addresses

Primary practice location

243 Corbin Ave
Staten Island, NY 10308-1877

Mailing address

7508 Bay Pkwy
Brooklyn, NY 11214-1515
Phone (718) 372-9300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040624001716 NY Part B Supplier - Clinic/Group Practice 7214913979 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1306026596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7508 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141515",
            "telephone_number": "718-372-9300",
            "fax_number": "718-837-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CORBIN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081877",
            "telephone_number": "718-372-9300",
            "fax_number": "718-837-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXEY MIGIROV MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "MIGIROV",
        "authorized_official_first_name": "ALEXEY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-372-9300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "223268-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.