Active NPI
Innovative Medical Concepts P.C.
- Pain Medicine Physician
- New York, NY
National Provider Identifier
1700478013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- INNOVATIVE MEDICAL CONCEPTS P.C.
- Practice address
- 11 E 47TH St FL 2
New York, NY 10017-1919 - Phone
- (212) 355-3377
- NPI assigned
- Feb 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Igor Ostrovsky, M.D.
- Title
- President
- Phone
- (917) 796-1267
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
11 E 47TH St FL 2
New York, NY 10017-1919
Mailing address
3120 Brighton 5TH St Ste 1C
Brooklyn, NY 11235-7003
Phone (718) 934-1920
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Brooklyn | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
3120 Brighton 5th St
Ste 1C
Brooklyn, NY 11235
Phone (718) 336-6334
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Brooklyn, NY
- NPI 1487710273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612742400000",
"number": "1700478013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 BRIGHTON 5TH ST STE 1C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357003",
"telephone_number": "718-934-1920",
"fax_number": "718-934-2078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 E 47TH ST FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100171919",
"telephone_number": "212-355-3377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE MEDICAL CONCEPTS P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-08",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A",
"authorized_official_last_name": "OSTROVSKY",
"authorized_official_first_name": "IGOR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-796-1267",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Brooklyn",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "11 E 47th St Fl 2",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100171919",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
- Zorana Tamara Innis
- Innovative Approach Physical Therapy PC
- Innovative Career Center LLC
- Innovative Healthcare Physicians, P.C.
- Innovative Healthcare Systems, Inc.
- Innovative Medical Diagnostic Care PC
- Innovative Medical Diagnostic Care, PC
- Innovative Mr Imaging, PC
- Innovative Physical Therapeutics
- Innovative Psychological Wellness PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.