Individual provider Active NPI

Yura Stolyarsky, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1104116375
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
275763 Issued in NY
Practice address
3049 Ocean Pkwy FL 2
Brooklyn, NY 11235-8395
Phone
(718) 704-9909
NPI assigned
Apr 8, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 275763 NY Primary

Addresses

Primary practice location

3049 Ocean Pkwy FL 2
Brooklyn, NY 11235-8395

Mailing address

PO Box 230384
Brooklyn, NY 11223-0384
Phone (718) 704-9909

Other names 1

  • Dr. Yura Stoly Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150916000182 NY Practitioner - Physical Medicine and Rehabilitation 2264749738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3049 Ocean Pkwy
Brooklyn, NY 11235-8395
Phone (718) 704-9909

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
99.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
275763NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Ave. Medical P.C. CurrentSince Jun 2, 2015 Accepting new patients
Yura Stoly MD, P.C. Physical Medicine & Rehabilitation Current Accepting new patients
Advance Acupuncture in the Health Care, PLLC CurrentSince Mar 2, 2005 Accepting new patients

Locations

3049 Ocean Pkwy
Fl 2
Brooklyn, NY 11235
Phone (718) 265-0005

501 Brighton Beach Ave
Fl 2
Brooklyn, NY 11235
Phone (347) 702-8805

Networks

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1104116375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230384",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112230384",
            "telephone_number": "718-704-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 OCEAN PKWY FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358395",
            "telephone_number": "718-704-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLYARSKY",
        "first_name": "YURA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-08",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "275763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YURA",
            "last_name": "STOLY",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.