Individual provider Active NPI

Igor Pikus, MD

  • Anesthesiology Physician
  • Stony Brook, NY
National Provider Identifier
1760659528
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA08404200 Issued in NJ
Practice address
Stony Brook University Hospital
Dept Anesthesiology - HSC4
Stony Brook, NY 11794-8480
Phone
(631) 444-2976
Fax
(631) 444-2907
NPI assigned
May 12, 2008
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA08404200 NJ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

Stony Brook University Hospital
Dept Anesthesiology - HSC4
Stony Brook, NY 11794-8480

Mailing address

PO Box 26960
New York, NY 10087-6960
Phone (631) 444-2754

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
I20080717000012 NJ Practitioner - Anesthesiology 4981777414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of New York at Stony Brook, School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shrewsbury Ambulatory Anesthesia LLCGroup PAC ID 4385899962, 141 clinicians
Morris Anesthesia Group PAGroup PAC ID 4284628645, 34 clinicians

Practice addresses (Care Compare)

1 Plaza Dr
Unit 2
Toms River, NJ 08757-3762
Phone (732) 264-1127

400 W Blackwell St
Dover, NJ 07801-2525
Phone (973) 989-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shrewsbury Ambulatory Anesthesia LLC Anesthesiology CurrentSince Dec 15, 2025 Accepting new patients
Coastal Surgery Center, LLC Past Accepting new patients

Locations

400 W Blackwell St
Dover, NJ 07801
Phone (973) 537-3818

3700 State Route 33
Ste LL01
Neptune, NJ 07753

655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000

1 Plaza Dr
Unit 2
Toms River, NJ 08757
Phone (732) 691-4898

101 Old Short Hills Rd
West Orange, NJ 07052
Phone (973) 322-6256

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1760659528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26960",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100876960",
            "telephone_number": "631-444-2754",
            "fax_number": "631-444-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY HOSPITAL",
            "address_2": "DEPT ANESTHESIOLOGY - HSC4",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948480",
            "telephone_number": "631-444-2976",
            "fax_number": "631-444-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKUS",
        "first_name": "IGOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08404200",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.