NPIMap

Individual provider Active NPI

Igor Ryndin, MD

  • Urology Physician
  • Brooklyn, NY
National Provider Identifier
1437172525
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2363851 Issued in NY
Practice address
1773 E 19TH St
Ste 1C
Brooklyn, NY 11229-2245
Phone
(718) 676-1180
Fax
(347) 587-4082
NPI assigned
Jul 26, 2006
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 2363851 NY Primary

Addresses

Primary practice location

1773 E 19TH St
Ste 1C
Brooklyn, NY 11229-2245

Mailing address

1773 E 19TH St
# 1C
Brooklyn, NY 11229-2245
Phone (718) 676-1180

Other identifiers 2

IdentifierTypeStateIssuer
02711255MedicaidNY
4S135ZWWQ1OtherNYMEDICARE ID TYPE UNSPECIFIED

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927000743 NY Practitioner - Urology 7719912922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1773 E 19TH St
1C
Brooklyn, NY 11229-2245
Phone (718) 483-3270

64 Nagle Ave
FL 2
New York, NY 10040-1406
Phone (212) 569-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.36 of 100Reported as individual
Quality
90
Improvement activities
0
Cost
81.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2363851NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Ig Medical PC CurrentSince Sep 8, 2010 Accepting new patients
Brooklyn Radiation Oncology PC Urology Past Accepting new patients
Intermed Care PC Past Accepting new patients
Pro-Health Physical Therapy Services PLLC Past Accepting new patients
Paramount Anesthesia Practice PC PastSince Oct 30, 2007 Accepting new patients
Hudson Ambulatory Medical PLLC Past Accepting new patients
Prohealth Care Associates, LLP Past Accepting new patients
Fayn Medical PC PastSince Jun 1, 2006 Accepting new patients
Oksa Medical PC Urology PastSince Jun 1, 2004 Accepting new patients
Boulevard Multispecialty Medical PC PastSince Jan 13, 1996 Accepting new patients

Locations

64 Nagle Ave
Fl 2
New York, NY 10040
Phone (212) 543-2500

Networks

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

Interoperability endpoints

  • Direct secure messaging: igorryndin@mai.allscriptsdirect.net

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1437172525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 E 19TH ST",
            "address_2": "# 1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292245",
            "telephone_number": "718-676-1180",
            "fax_number": "347-587-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 E 19TH ST",
            "address_2": "STE 1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292245",
            "telephone_number": "718-676-1180",
            "fax_number": "347-587-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYNDIN",
        "first_name": "IGOR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "2363851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02711255",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "4S135ZWWQ1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.