Organization Active NPI

Innovative Medical Concepts P.C.

  • Pain Medicine Physician
  • New York, NY
National Provider Identifier
1700478013
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
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

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Mr. Igor Ostrovsky, M.D.NPI 1487710273
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)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Other URL Brooklyn Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.