Active NPI
Igor M Povzhitkov, M.D.
- Pain Medicine (Anesthesiology) Physician
- Englewood Cliffs, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 25MA07341800
- Practice address
- 520 Sylvan Ave
1St Floor
Englewood Cliffs, NJ 07632-3022 - Phone
- (201) 816-1991
- Fax
- (201) 632-6403
- NPI assigned
- Feb 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA07341800 | NJ | |
| Anesthesiology Physician | 207L00000X | 216770-1 | NY | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 25MA07341800 | NJ | Primary |
Addresses
Primary practice location
520 Sylvan Ave
1St Floor
Englewood Cliffs, NJ 07632-3022
Mailing address
343 Ellen PL
Paramus, NJ 07652-5506
Phone (201) 218-6439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216770-1 | NY | MD | Anesthesiology Physician |
| 25MA07341800 | NJ | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morris Anesthesia Group, PA | Pain Medicine | Current | Accepting new patients |
| Pain Management Institute PA | Anesthesiology | Current | Accepting new patients |
| Shrewsbury Ambulatory Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Advanced Ambulatory Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Morris Anesthesia Group, PA | Anesthesiology | Current | Accepting new patients |
| Gastroenterology Associates of New Jersey, LLC | Anesthesiology | Current | Accepting new patients |
| North Jersey Surgery Center, LLC | Past | Accepting new patients | |
| Fort Lee Medical Center, Inc. | Past | Accepting new patients | |
| Comfort Anesthesia PC | Anesthesiology | Past | Accepting new patients |
| Institute for Diagnosis & Treatment of Pain | Past | Accepting new patients | |
| Ramapo Anesthesiologists, PC | Anesthesiology | Past | Accepting new patients |
Locations
495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800
25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000
619 River Dr
Elmwood Park, NJ 07407
Phone (201) 703-2900
655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000
1 Plaza Dr
Unit 2
Toms River, NJ 08757
Phone (732) 691-4898
525 Union Blvd
Totowa, NJ 07512
Phone (862) 229-0559
1176 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 283-0002
101 Old Short Hills Rd
West Orange, NJ 07052
Phone (973) 322-6256
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJIGAA
Organizations & group practices 11
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.
-
- Gastroenterology Physician
- Woodland Park, NJ
- NPI 1497932271
Anesthesiology
-
- Anesthesiology Physician
- Parsippany, NJ
- NPI 1194728501
-
- Anesthesiology Physician
- Elmwood Park, NJ
- NPI 1780989087
-
- Anesthesiology Physician
- Shrewsbury, NJ
- NPI 1356691885
-
- Pain Medicine (Anesthesiology) Physician
- Brick, NJ
- NPI 1477942423
-
- Ambulatory Surgical Clinic/Center
- Fort Lee, NJ
- NPI 1467681775
-
- Specialist
- Fair Lawn, NJ
- NPI 1033227004
-
- Ambulatory Surgical Clinic/Center
- Englewood Cliffs, NJ
- NPI 1447279401
-
- Anesthesiology Physician
- New York, NY
- NPI 1073685277
-
- Anesthesiology Physician
- Suffern, NY
- NPI 1235151002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279152000000",
"number": "1700924669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 ELLEN PL",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076525506",
"telephone_number": "201-218-6439",
"fax_number": "201-632-6403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 SYLVAN AVE",
"address_2": "1ST FLOOR",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076323022",
"telephone_number": "201-816-1991",
"fax_number": "201-632-6403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POVZHITKOV",
"first_name": "IGOR",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2010-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA07341800",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "216770-1",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NJ",
"license": "25MA07341800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood Cliffs, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.