Individual provider Active NPI

Igor Giterman, M.D.

  • Family Medicine Physician
  • Staten Island, NY
National Provider Identifier
1396090411
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
278763 Issued in NY
Practice address
4771 Hylan Blvd
Staten Island, NY 10312-6315
Phone
(718) 948-8200
Fax
(718) 420-2718
NPI assigned
Jul 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 278763 NY Primary
Family Medicine Physician 207Q00000X 25MA09191000 NJ

Addresses

Primary practice location

4771 Hylan Blvd
Staten Island, NY 10312-6315

Mailing address

55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888

Other practice location 1

1050 Clove Road
Staten Island, NY 10301-3627
Phone (718) 816-6440

Other identifiers 1

IdentifierTypeStateIssuer
04100092MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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
I20130916000723 NJ Practitioner - Family Practice 8325282262 Reassigns benefits to 1 organization
I20150415000114 NY Practitioner - Family Practice 8325282262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Py Medical Services of Ny PLLCGroup PAC ID 8921476391, 16 clinicians
Py Physician Services LLCGroup PAC ID 6204201916, 4 clinicians
Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

100 Castleton Ave
Staten Island, NY 10301-3004
Phone (718) 273-1300

1155 E Jersey St
Elizabeth, NJ 07201-2310
Phone (908) 352-9200

1700 Rte 37
Toms River, NJ 08757-2347
Phone (732) 341-0880

233 Nostrand Ave
Brooklyn, NY 11205-4924
Phone (718) 826-5900

4771 Hylan Blvd
Staten Island, NY 10312-6315
Phone (718) 948-8200

Hospital & facility affiliations

  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09191000NJMDFamily Medicine Physician
278763NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Jan 1, 2017 Accepting new patients
Py Physician Services LLC CurrentSince Oct 1, 2025 Accepting new patients
Py Medical Services of Ny PLLC CurrentSince Oct 1, 2025 Accepting new patients
Advantagecare Physicians PC Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Peyman Younesi MD PLLC Past Accepting new patients
Ipc Hospitalist Physicians of New Jersey PC Past Accepting new patients

Locations

1155 E Jersey St
Elizabeth, NJ 07201
Phone (732) 987-5122

65 Jay St
#C
Newark, NJ 07103
Phone (973) 483-6800

3519 Bainbridge Ave
Bronx, NY 10467
Phone (718) 655-1991

1555 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 307-5460

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

9131 175th St
#13292
Jamaica, NY 11432

645 W Broadway
Long Beach, NY 11561
Phone (516) 431-4400

55 Water St
Fl 2
New York, NY 10041

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

822 Cedar Ave
#13282
Niagara Falls, NY 14301
Phone (716) 272-1207

1050 Clove Rd
Staten Island, NY 10301
Phone (718) 816-6440

200 Lafayette Ave
Staten Island, NY 10301
Phone (718) 448-9000

4771 Hylan Blvd
Staten Island, NY 10312
Phone (718) 948-8200

100 Castleton Ave
Staten Island, NY 10301
Phone (718) 273-1300

65 Ashburton Ave
Yonkers, NY 10701
Phone (914) 729-4916

65 Ashburton Ave
#13202
Yonkers, NY 10701
Phone (914) 963-4572

Networks

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

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: igiterman16489@direct.acpny.com

Organizations & group practices 6

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

Hospital & facility affiliations 11

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": "1342224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1396090411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4771 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126315",
            "telephone_number": "718-948-8200",
            "fax_number": "718-420-2718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Clove Road",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103013627",
            "country_code": "US",
            "telephone_number": "718-816-6440",
            "fax_number": "718-816-3611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GITERMAN",
        "first_name": "IGOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-14",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "278763",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09191000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04100092",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.