Individual provider Active NPI

Igor V Tsyganov, M.D.

  • Anesthesiology Physician
  • Ocean City, NJ
National Provider Identifier
1720081540
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA07421200 Issued in NJ
Practice address
2401 Bay Ave
Ocean City, NJ 08226-2456
Phone
(609) 399-6300
Fax
(609) 399-6284
NPI assigned
May 24, 2005
Last updated
Sep 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA07421200 NJ Primary

Addresses

Primary practice location

2401 Bay Ave
Ocean City, NJ 08226-2456

Mailing address

2401 Bay Ave
Ocean City, NJ 08226-2456
Phone (609) 399-6102

Other identifiers 1

IdentifierTypeStateIssuer
8894302MedicaidNJ

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
I20050527000019 NJ Practitioner - Anesthesiology 9638111800

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.43 of 100Reported as group
Quality
96.63
Improvement activities
40
Cost
75.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Anesthesia Associates, PC Anesthesiology Past Accepting new patients
Shore Memorial Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: igor.tysganovmd.p1@direct.horizoneyecare.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1720081540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BAY AVE",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082262456",
            "telephone_number": "609-399-6102",
            "fax_number": "609-399-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BAY AVE",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082262456",
            "telephone_number": "609-399-6300",
            "fax_number": "609-399-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSYGANOV",
        "first_name": "IGOR",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA07421200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8894302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean City, NJ

Sources for this page

Verify at the official NPI Registry.