Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Yuriy Olegovich Ivanov, DO

Individual provider Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1790026011

Yuriy Olegovich Ivanov, DO is an Osteopathic Manipulative Medicine in New Brunswick, New Jersey. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2013, 13 years ago. Practices with Rutgers Health-Rwj Pediatric Critical Care, a 152-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
13
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NJ, NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

125 Paterson St
New Brunswick, NJ 08901-1962
Phone: (732) 235-7661
Fax: (732) 235-7246
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1554 Northern Blvd Bldg Floor4, Manhasset, NY 11030-3053 — (516) 321-6410

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence 1790026011 (NJ)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 276396 (NY)

Record details

NPI number1790026011
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 12, 2013
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2013 (13 years in practice)
Group practice Rutgers Health-Rwj Pediatric Critical Care — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare