IG MEDICAL PC
NPI 1104124924
Specialist in New York, NY

Active since March 02, 2011
570 W 204TH ST APT 1J, NEW YORK, NY 10034(212) 569-8070(212) 569-8071 Get Directions Write a Review

NPPES record last updated: March 2, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ig Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IG MEDICAL PC (NPI 1104124924) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since March 2011. The organization lists Igor Ryndin, Urology, as its authorized official.

NPPES Registry Identity

NPI1104124924
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameIG MEDICAL PC
Location Address570 W 204TH ST APT 1JNew York, NY 10034-4011
Mailing Address570 W 204th St Apt 1jNew York, NY 10034-4011 · (212) 569-8070 · Fax (212) 569-8071
Fax(212) 569-8071
Organization SubpartNo
Authorized OfficialIgor RyndinUrology · (212) 569-8070
Enumeration DateMarch 2, 2011
✔ NPI 1104124924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 2363851
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
570 W 204TH ST APT 1J, New York, NY 10034

Other Identifiers 2

Medicaid02711255NY
Medicare UPINI41199

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ig Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ig Medical PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1073885240
570 W 204TH ST
New York, NY 10034
(212) 569-8070
✔ PECOSSame address
Urology
NPI 1437172525
1773 E 19TH ST STE 1C
Brooklyn, NY 11229
(718) 676-1180
✔ PECOS18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ig Medical PC's NPI number?

The NPI number for Ig Medical PC is 1104124924. It was assigned to this organization in the NPPES registry on March 2, 2011.

Where is Ig Medical PC located?

Ig Medical PC is located at 570 W 204th St Apt 1J, New York, NY 10034. The listed phone number is (212) 569-8070.

What is Ig Medical PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Ig Medical PC enrolled in Medicare?

Yes. Ig Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ig Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ig Medical PC, in Nurse Practitioner and Urology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ig Medical PC was last updated on March 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.