NPIMap

Individual provider Active NPI

Oleg Kotelskiy, D.O.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1003871179
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2050591 Issued in NY
Practice address
3816 Nostrand Ave
Brooklyn, NY 11235-2013
Phone
(718) 338-2323
Fax
(718) 338-7117
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2050591 NY Primary

Addresses

Primary practice location

3816 Nostrand Ave
Brooklyn, NY 11235-2013

Mailing address

3816 Nostrand Ave
Brooklyn, NY 11235-2013
Phone (718) 338-2323

Other identifiers 2

IdentifierTypeStateIssuer
01749417MedicaidNY
2050591OtherNYLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000578 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 2769455419 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

1220 Ave P
Brooklyn, NY 11229-1009
Phone (718) 376-1004

3816 Nostrand Ave
Brooklyn, NY 11235-2013
Phone (347) 713-6871

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2050591NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oleg Kotelskiy D.O., P.C. Family Medicine CurrentSince Jan 1, 2007 Accepting new patients
New York University CurrentSince Oct 1, 2025 Accepting new patients
New York University CurrentSince Oct 1, 2025 Accepting new patients
Medical Point P.C. Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Bukhman MD PC Family Medicine Past Accepting new patients

Locations

3039 Ocean Pkwy
Ste 3A
Brooklyn, NY 11235
Phone (718) 349-1200

2116 Avenue P
Brooklyn, NY 11229
Phone (718) 338-1616

2952 Brighton 3rd St
Ste 201
Brooklyn, NY 11235
Phone (718) 975-4334

1220 Avenue P
Brooklyn, NY 11229
Phone (718) 375-7546

2965 Ocean Pkwy
Ste 2B
Brooklyn, NY 11235
Phone (718) 676-0560

3816 Nostrand Ave
Brooklyn, NY 11235
Phone (347) 713-6871

Networks

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

Interoperability endpoints

  • Direct secure messaging: okotelskiy757586@nyumc.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003871179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352013",
            "telephone_number": "718-338-2323",
            "fax_number": "718-338-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352013",
            "telephone_number": "718-338-2323",
            "fax_number": "718-338-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTELSKIY",
        "first_name": "OLEG",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "2050591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01749417",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "2050591",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.