Active NPI
Yulya Timashpolsky, M.D.
- Internal Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 247050
- Practice address
- 4215 3Rd Ave
2ND Floor
Bronx, NY 10457-4501 - Phone
- (718) 294-5891
- Fax
- (718) 294-2468
- NPI assigned
- Jun 3, 2006
- Last updated
- May 4, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 80340 | MA | |
| Internal Medicine Physician | 207R00000X | 247050 | NY | Primary |
Addresses
Primary practice location
4215 3Rd Ave
2ND Floor
Bronx, NY 10457-4501
Mailing address
60 Madison Ave FL 5
New York, NY 10010-1600
Phone (212) 545-2400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6915 Yellowstone Blvd
Suite 4
Forest Hills, NY 11375-3787
Phone (718) 360-9550
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.34 of 100
- Quality
- 59.43
- Improvement activities
- 40
- Cost
- 72.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80340 | MA | MD | Internal Medicine Physician |
| 247050 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physicians P C | Current | Accepting new patients | |
| 14 Street Medical, PC | Internal Medicine | Current | Accepting new patients |
Locations
6915 Yellowstone Blvd
Ste 4
Forest Hills, NY 11375
Phone (718) 360-9550
6915 Yellowstone Blvd
Ste BB1
Forest Hills, NY 11375
800 2nd Ave
New York, NY 10017
Phone (646) 918-7363
800 2nd Ave
Fl 9
New York, NY 10017
Phone (212) 539-0257
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://api.platform.athenahealth.com/13555/brand/1/csg/1/fhir/r4
- yulya.timashpolsky@chn.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Forest Hills, NY
- NPI 1346563582
-
- Internal Medicine Physician
- New York, NY
- NPI 1386091486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430697600000",
"number": "1114965019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MADISON AVE FL 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100101600",
"telephone_number": "212-545-2400",
"fax_number": "646-312-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 3RD AVE",
"address_2": "2ND FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "104574501",
"telephone_number": "718-294-5891",
"fax_number": "718-294-2468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMASHPOLSKY",
"first_name": "YULYA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2015-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "80340",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "247050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.