Individual provider Active NPI

Yitzchak Shollar, PA-C

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Brooklyn, NY
National Provider Identifier
1245755883
Registry record updated Aug 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
021132 Issued in NY
Practice address
3226 Kings Hwy
Brooklyn, NY 11234-2617
Phone
(718) 252-9100
NPI assigned
Aug 4, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081S0010X 021132 NY Primary

Addresses

Primary practice location

3226 Kings Hwy
Brooklyn, NY 11234-2617

Mailing address

3226 Kings Hwy
Brooklyn, NY 11234-2617

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310000965 NY Practitioner - Physician Assistant 5294066353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of New York Downstate Medical Center, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Community Health Initiatives, Inc.Group PAC ID 6709185408, 23 clinicians
BP Immediate Medical Care, PCGroup PAC ID 8628295581, 25 clinicians

Practice addresses (Care Compare)

1419 Mermaid Ave
Brooklyn, NY 11224-2615
Phone (718) 210-3110

3808 14TH Ave
Brooklyn, NY 11218-3610
Phone (718) 972-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021132NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
BP Immediate Medical Care, PC Single Specialty CurrentSince Feb 1, 2026 Accepting new patients
Continental Medical Group Single Specialty Past Accepting new patients
Comprehensive Healthcare Medical PC Single Specialty PastSince Apr 7, 2010 Accepting new patients

Locations

3808 14th Ave
Brooklyn, NY 11218
Phone (718) 972-2424

735 Bedford Ave
Brooklyn, NY 11205
Phone (201) 688-2424

Organizations & group practices 4

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": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1245755883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342617",
            "telephone_number": "718-252-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOLLAR",
        "first_name": "YITZCHAK",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "021132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.