Sergei Kochlatyi, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

218265 Issued in NY

Practice address

110 5TH St
Cresskill, NJ 07626-2002

Phone

(917) 974-7172

Fax

(201) 313-8888

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

22.92 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

76.42

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Health and Endurance Medical P.C.

  • Medical Specialty Clinic/Center
  • Cresskill, NJ
  • NPI 1801044821

  NY

  Medicare reassignment Authorized official
• Advanced Wound Care Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1699726315
  NPD (past) Authorized official
• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1104877836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 5TH ST",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262002",
            "telephone_number": "917-974-7172",
            "fax_number": "201-313-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 5TH ST",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262002",
            "telephone_number": "917-974-7172",
            "fax_number": "201-313-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHLATYI",
        "first_name": "SERGEI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "218265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02142469",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Han Sung Kim
• Hyeon-Kyeong Kim, MS.ED.
• Jina Kim
• Young Ho Kim, DDS
• Knickerbocker Oral and Facial Surgery, LLC
• Kattya Koenigsberg, M.A., LPC
• Steven Korner, PH.D.
• Cara Beth Kupersmith
• Nancy Jane Laifer, OD
• Steven Laifer, D.D.S.

• Internal Medicine Physician in Cresskill, NJ
• Providers in Cresskill, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.