Individual provider Active NPI

Igor M Povzhitkov, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Englewood Cliffs, NJ
National Provider Identifier
1700924669
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA07341800 Issued in NJ
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

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070611000535 NJ Practitioner - AnesthesiologyPractitioner - Pain Management 3375501513 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216770-1NYMDAnesthesiology Physician
25MA07341800NJMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Anesthesia Group, PA Pain Medicine CurrentSince Dec 15, 2021 Accepting new patients
Pain Management Institute PA Anesthesiology CurrentSince Oct 1, 2020 Accepting new patients
Shrewsbury Ambulatory Anesthesia LLC Anesthesiology CurrentSince Dec 15, 2025 Accepting new patients
Advanced Ambulatory Anesthesia, LLC Anesthesiology CurrentSince Sep 1, 2025 Accepting new patients
Morris Anesthesia Group, PA Anesthesiology CurrentSince Dec 15, 2021 Accepting new patients
Gastroenterology Associates of New Jersey, LLC Anesthesiology CurrentSince Jan 21, 2026 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.