KOTLYAR MEDICAL PC (NPI# 1205363454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205363454 |
| Entity Type | Organization |
| Organization Name | KOTLYAR MEDICAL PC |
| Practice Address |
369 Lexington Ave Rm 800 New York NY 10017-6536 |
| Mailing Address |
Po Box 270 Massapequa Park NY 11762-0270 |
| Practice Telephone | 6312642030 |
| Practice Fax Number | 6312641418 |
| Mailing Telephone | 6312642035 |
| Mailing Fax Number | 6312641418 |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | DR. VITALY KOTLYAR (OWNER) |
| Authorized Official Telephone | 9178625558 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 263221 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 369 Lexington Ave Rm 800, New York, NY 100176536 | 3472526732 | 3472526731 |
| Street Address |
369 LEXINGTON AVE RM 800 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10017-6536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730471814 | Ilana Etelzon | Physical Medicine & Rehabilitation | 369 Lexington Ave Rm 800, New York, NY 10017-6536 | 2011-05-09 |
| 1720499387 | Armando Iannicello | Physical Medicine & Rehabilitation | 369 Lexington Ave Rm 800, New York, NY 10017 | 2014-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700424702 | Amanda Arielle Grannum | Social Worker | 227 E 41st Street, New York, NY 10017 | 2019-12-20 |
| 1205399748 | Jasmine Marie Williams | Social Worker | Comprehensive Therapeutic Services, 450 Lexington Ave, Fourth Floor, New York, NY 10017 | 2019-04-11 |
| 1093208415 | Kaylin Salubro | Nurse Practitioner | 18 E 41st St Fl 12, New York, NY 10017 | 2018-06-11 |
| 1932698792 | Bryan Cordes | Social Worker | 295 Madison Avenue, Suite 707, New York, NY 10017 | 2018-05-08 |
| 1376048173 | Matthew Bernstein, M.d. Pllc | Psychiatry & Neurology | 370 Lexington Avenue, Suite 1001, New York, NY 10017 | 2018-03-26 |
| 1285137430 | Midtown East Podiatry and Foot Surgery L.L.C. | Podiatrist | 230 E 48th St., #1b, New York, NY 10017 | 2018-03-14 |
| 1831692136 | Olga S Pankiv | Nurse Practitioner | 545 5th Avenue Suite 817, 545 5th Avenue Suite 817, New York, NY 10017 | 2018-03-13 |
| 1023523198 | Randa Jaafar Md,pc | Pain Medicine | 340 East 49th St., Ground Floor, New York, NY 10017 | 2017-12-11 |
| 1962912154 | Yonatan Moshe Sobin | Psychologist | 370 Lexington Ave Rm 1000, New York, NY 10017 | 2017-10-03 |
| 1558880344 | Jendayi Polite | Counselor | 100 Park Ave Fl 16, New York, NY 10017 | 2017-09-13 |
| Find all providers in zip 10017 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128700 | Seeminder Brar | Anesthesiology | Weill Cornell Medicine - Department of Anesthesiology, 525 East 68th Street, New York, NY 10065 | 2020-06-08 |
| 1962045104 | Wjb Anesthesia Services Pllc | Anesthesiology | 138 E 80th St, New York, NY 10075-0306 | 2019-10-21 |
| 1912469172 | Alex Yu | Anesthesiology | 1468 Madison Ave # 8f, New York, NY 10029-6508 | 2019-04-04 |
| 1326514191 | Yjk Anesthesia LLC | Anesthesiology | 403 East 91st, New York, NY 10128 | 2018-10-19 |
| 1710340815 | Robert Toha | Anesthesiology | Winston Building, 1000 Tenth Avenue, New York, NY 10019-1001 | 2016-04-05 |
| 1437511532 | Jonathan Danquah | Anesthesiology | 326 W 4th St, New York, NY 10014-1930 | 2016-03-28 |
| 1669834180 | Cory Weston Helder | Anesthesiology | 106 W 69th St Apt 8b, New York, NY 10023-5125 | 2016-03-23 |
| 1548648504 | Esther Ogunyemi | Anesthesiology | 800 2nd Ave Fl 7, New York, NY 10017-9224 | 2015-05-11 |
| 1467848770 | Bryan Andrew Roller | Anesthesiology | Columbia University Medical Center - Dept of Anesthesia, 622 West 168th Street, New York, NY 10038 | 2015-04-13 |
| 1427444306 | Ronak S Shah | Anesthesiology | 1 Gustave L Levy Pl Fl 8, New York, NY 10029 | 2015-04-08 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.