Individual provider Active NPI

Igor Anatolyevich Maganov, MD

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1902063258
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
250722 Issued in NY
Practice address
2072 20TH Lane
Apt 3C
Brooklyn, NY 11214-6369
Phone
(347) 374-2142
Fax
(718) 815-8122
NPI assigned
May 22, 2008
Last updated
Mar 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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 250722 NY Primary

Addresses

Primary practice location

2072 20TH Lane
Apt 3C
Brooklyn, NY 11214-6369

Mailing address

2072 20TH Lane
Apt 3C
Brooklyn, NY 11214-6369
Phone (347) 374-2142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20091005000506 NY Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 7214073287 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PPG Anesthesia PLLCGroup PAC ID 8022165588, 10 clinicians

Practice addresses (Care Compare)

1765 E 19TH St
Brooklyn, NY 11229-2233
Phone (646) 620-6485

5091 Amboy Rd
Staten Island, NY 10312-4722
Phone (646) 620-6485

6254 97TH PL
Rego Park, NY 11374-1346
Phone (718) 271-9900

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
250722NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Primary Health Care Center, LLC CurrentSince Jul 1, 2016 Accepting new patients
Consultants in Urology PC CurrentSince Jan 2, 2016 Accepting new patients
R&N Anesthesia PLLC Anesthesiology CurrentSince Dec 1, 2015 Accepting new patients
Acute and Chronic Pain Management and Medicine Anesthesiology CurrentSince Jan 2, 2016 Accepting new patients
Igor Maganov Medical PC Anesthesiology Current Accepting new patients
Goldstep Ambulatory Surgery Center, LLC Anesthesiology CurrentSince Jan 6, 2016 Accepting new patients
Glacier Cryo Medical P.C Anesthesiology CurrentSince Dec 1, 2015 Accepting new patients
PPG Anesthesia, PLLC Anesthesiology CurrentSince Aug 10, 2009 Accepting new patients
Mid-Atlantic Medical Services,PC Past Accepting new patients
Westend Medical Services,PC Past Accepting new patients
Blair S. Lewis, M.D.,P.C. PastSince Feb 6, 2009 Accepting new patients
St Kilda Medical Service,PLLC PastSince Dec 1, 2010 Accepting new patients
Physicians Choice Surgicenter Inc Past Accepting new patients
East Manhattan Medical Services,PC PastSince Nov 13, 2011 Accepting new patients
Bentley Medical PLLC PastSince Mar 1, 2010 Accepting new patients
MPG Medical Services, PLLC PastSince Nov 7, 2011 Accepting new patients
Ae & Ly Medical Associates PLLC PastSince Jun 1, 2007 Accepting new patients

Locations

1577 Fulton St
Brooklyn, NY 11213
Phone (347) 915-1411

2269 Ocean Ave
Brooklyn, NY 11229
Phone (718) 339-8200

2829 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 676-4112

3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177

3007 Farragut Rd
Fl 5
Brooklyn, NY 11210
Phone (347) 915-1150

5002 Flatlands Ave
Ste C
Brooklyn, NY 11234
Phone (347) 286-0741

933 Bay Ridge Ave
Brooklyn, NY 11219
Phone (718) 682-3390

8212 151st Ave
#12
Howard Beach, NY 11414
Phone (718) 322-9800

9013 Elmhurst Ave
Jackson Heights, NY 11372
Phone (718) 672-2794

310 E 72nd St
#C
New York, NY 10021
Phone (212) 249-3720

2454 Hylan Blvd
Staten Island, NY 10306
Phone (718) 233-1300

4143 Hylan Blvd
Staten Island, NY 10308
Phone (718) 233-1300

5091 Amboy Rd
Staten Island, NY 10312
Phone (718) 948-0221

944 N Broadway
Yonkers, NY 10701
Phone (914) 965-1234

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1808/brand/1/csg/1/fhir/r4

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1902063258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 20TH LANE",
            "address_2": "APT 3C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146369",
            "telephone_number": "347-374-2142",
            "fax_number": "718-815-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 20TH LANE",
            "address_2": "APT 3C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146369",
            "telephone_number": "347-374-2142",
            "fax_number": "718-815-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGANOV",
        "first_name": "IGOR",
        "middle_name": "ANATOLYEVICH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "250722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.