Individual provider Active NPI

Vadim Zhigin, P.A.

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1467740118
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00911900 Issued in NJ
Practice address
2620 Ocean Pkwy
Apt 1E
Brooklyn, NY 11235-7748
Phone
(347) 645-9028
NPI assigned
Jul 15, 2011
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00911900 NJ Primary
Physician Assistant 363A00000X 014835-1 NY

Addresses

Primary practice location

2620 Ocean Pkwy
Apt 1E
Brooklyn, NY 11235-7748

Mailing address

2620 Ocean Pkwy
Apt 1E
Brooklyn, NY 11235-7748
Phone (347) 645-9028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120521000323 NY Practitioner - Physician Assistant 3072776574
I20260308000024 NJ Practitioner - Physician Assistant 3072776574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

210 Somerset St
New Brunswick, NJ 08901-1942
Phone (732) 235-8845

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
014835NYMDSpeech-Language Pathologist
25MP00911900NJMDPhysician Assistant
014835-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Jan 25, 2026 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Jan 25, 2026 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty Past Accepting new patients

Locations

10 Plum St
Fl 5
New Brunswick, NJ 08901
Phone (732) 235-5530

210 Somerset St
New Brunswick, NJ 08901
Phone (732) 235-6561

210 Somerset St
Fl 5
New Brunswick, NJ 08901
Phone (732) 235-8845

Networks

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

Interoperability endpoints

  • Direct secure messaging: vzhigin28877@northwell.direct-ci.com

Organizations & group practices 4

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 2

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": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1467740118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 OCEAN PKWY",
            "address_2": "APT 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357748",
            "telephone_number": "347-645-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 OCEAN PKWY",
            "address_2": "APT 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357748",
            "telephone_number": "347-645-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHIGIN",
        "first_name": "VADIM",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00911900",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014835-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.