Individual provider Active NPI

Igor Priven, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Manalapan, NJ
National Provider Identifier
1518938422
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
25MA07691500 Issued in NJ
Practice address
345 Route 9 Ste 8
Manalapan, NJ 07726
Phone
(732) 845-2200
Fax
(732) 845-0154
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 25MA07691500 NJ Primary

Addresses

Primary practice location

345 Route 9 Ste 8
Manalapan, NJ 07726

Mailing address

345 Route 9 Ste 8
Manalapan, NJ 07726-3240
Phone (732) 845-2200

Other practice location 1

87 Brunswick Woods Drive
East Brunswick, NJ 08816
Phone (732) 254-0081

Other practice location 2

8740 25th Ave
Brooklyn, NY 11214-5441
Phone (718) 891-8790

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
I20040225000160 NJ Practitioner - EndocrinologyPractitioner - Internal MedicinePractitioner - Pain Management 7618863804 Reassigns benefits to 1 organization
I20090105000151 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 7618863804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Manalapan Medical Center PA PCGroup PAC ID 8022164920, 11 clinicians

Practice addresses (Care Compare)

3 Hospital PLZ
Suite 307
Old Bridge, NJ 08857-3095
Phone (732) 360-1122

345 Route 9 S
Suite 9
Manalapan, NJ 07726-3240

345 RT 9
Manalapan, NJ 07726-3240

345 US Hwy 9 9
Manalapan, NJ 07726-3240
Phone (732) 845-2200

754 Hwy 18
Suite 107
East Brunswick, NJ 08816-4909
Phone (732) 390-6666

8740 25TH Ave
Brooklyn, NY 11214-5441
Phone (732) 845-2200

Merit-based Incentive Payment System (MIPS)

Final score
99.01 of 100Reported as group
Quality
98.39
Promoting interoperability
100
Improvement activities
40
Cost
78.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07691500NJMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes and Endocrinology PC Endocrinology, Diabetes & Metabolism PastSince Sep 19, 2009 Accepting new patients
Endocrine and Diabetes Care, P.C. Endocrinology, Diabetes & Metabolism PastSince Sep 3, 2004 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1518938422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 ROUTE 9 STE 8",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263240",
            "telephone_number": "732-845-2200",
            "fax_number": "732-845-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 ROUTE 9 STE 8",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "07726",
            "telephone_number": "732-845-2200",
            "fax_number": "732-845-0154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 BRUNSWICK WOODS DRIVE",
            "address_purpose": "LOCATION",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "country_code": "US",
            "telephone_number": "732-254-0081",
            "fax_number": "732-254-2851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8740 25th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112145441",
            "country_code": "US",
            "telephone_number": "718-891-8790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIVEN",
        "first_name": "IGOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA07691500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.