Mr. Igor Dmytrienko, MD
Specialist in Ridgewood, New Jersey
1881730026- Practice location
- 51 Chestnut St, Ridgewood, NJ 07450-3873
- Phone
- 201-670-9215
- Fax
- —
- Last updated
- September 20, 2007
Igor Dmytrienko is a Specialist based in Ridgewood, NJ. Igor Dmytrienko practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Igor Dmytrienko is 1881730026 and holds a License No. 25MA06920100 (NJ). The current practice location address for Igor Dmytrienko is 51 Chestnut St, Ridgewood, NJ 07450-3873 and can be reached out via phone at 201-670-9215.
Provider Profile Details
- NPI Number
- 1881730026
- Provider Name
- Igor Dmytrienko
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 51 Chestnut St, Ridgewood, NJ 07450-3873
- Phone Number
- 201-670-9215
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 29, 2007
- Last Update Date
- September 20, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 51 Chestnut St
Ridgewood, NJ 07450-3873 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-3873
- Phone Number
- 201-670-9215
Provider Business Mailing Address Details
- Address
- 51 Chestnut St
Ridgewood, NJ 07450-3873 - City
- Ridgewood
- State
- NJ
- Zip
- 07450-3873
- Phone Number
- 201-670-9215
License Information
- License Number
- 25MA06920100
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Igor Dmytrienko, MD?
The NPI number of Mr. Igor Dmytrienko, MD is 1881730026. It was assigned on January 29, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Igor Dmytrienko, MD?
Mr. Igor Dmytrienko, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA06920100.
Where does Mr. Igor Dmytrienko, MD practice?
The practice location is 51 Chestnut St, Ridgewood, NJ 07450-3873. The office can be reached at 201-670-9215 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881730026 directly on the NPPES registry website.