Organization Active NPI

Igor M Povzhitkov M D P C

  • Ambulatory Surgical Clinic/Center
  • Paramus, NJ
National Provider Identifier
1801087572
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
23278 Issued in NJ
Legal business name
IGOR M POVZHITKOV M D P C
Practice address
343 Ellen PL
Paramus, NJ 07652-5506
Phone
(201) 218-6439
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Dr. Igor M Povzhitkov, M.D.NPI 1700924669
Title
President
Phone
(201) 218-6439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 23278 NJ Primary

Addresses

Primary practice location

343 Ellen PL
Paramus, NJ 07652-5506

Mailing address

343 Ellen PL
Paramus, NJ 07652-5506
Phone (201) 218-6439

National Provider Directory

National Provider Directory

Locations

520 Sylvan Ave
#1
Englewood Cliffs, NJ 07632
Phone (201) 816-1991

520 Sylvan Ave
Fl 1
Englewood Cliffs, NJ 07632
Phone (201) 218-6439

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1801087572",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 ELLEN PL",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525506",
            "telephone_number": "201-218-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGOR M POVZHITKOV M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "POVZHITKOV",
        "authorized_official_first_name": "IGOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-218-6439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "23278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.