Polina Stolyarova, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD418065 Issued in PA

Practice address

10151 Bustleton Ave
Unit C
Philadelphia, PA 19116-3718

Phone

(215) 676-6393

Fax

(215) 676-6395

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• New Life of Community Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
  • NPI 1386653814
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1043228216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 BUSTLETON AVE",
            "address_2": "UNIT C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163718",
            "telephone_number": "215-676-6393",
            "fax_number": "215-676-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 BUSTLETON AVE",
            "address_2": "UNIT C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163718",
            "telephone_number": "215-676-6393",
            "fax_number": "215-676-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLYAROVA",
        "first_name": "POLINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD418065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Z Stoller, MD
• Dvasha Stollman, DMD
• Nachum Burt Stollman, MD
• Vanessa Valensi Stoloff, MD
• Kendra Stoltzfus, MS OTR/L
• Joshua Alexander Stolz, DO
• Rachel Stolzer
• Stone Bridge Wellness PLLC
• Leslie Stone Stone Hirsh, D.D.S.
• Andrew Michael Stone, M.D.

• Psychiatry Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.