Individual provider Active NPI

Sergey Yarovoy, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1295885705
Registry record updated Nov 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018969-1 Issued in NY
Practice address
2925 W 5TH St Ste 52
Brooklyn, NY 11224-3962
Phone
(917) 749-3971
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 018969-1 NY Primary

Addresses

Primary practice location

2925 W 5TH St Ste 52
Brooklyn, NY 11224-3962

Mailing address

840 E 8TH St Apt 5F
Brooklyn, NY 11230-2748
Phone (917) 749-3971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111018000007 NY Practitioner - Physical Therapist in Private Practice 9234224775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Igor Rubinshteyn MD PCGroup PAC ID 0143386938, 5 clinicians

Practice addresses (Care Compare)

2797 Ocean Pkwy
Suite 1
Brooklyn, NY 11235-7868
Phone (718) 896-4090

3049 Ocean Pkwy
FL 2
Brooklyn, NY 11235-8395
Phone (718) 896-4090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018969-1NYMDPhysical Therapist
018969NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Health Physical Therapy Services PLLC Physical Therapist CurrentSince Sep 1, 2011 Accepting new patients
Oksa Medical PC PastSince Jun 1, 2004 Accepting new patients

Locations

2925 W 5th St
Ste 52
Brooklyn, NY 11224
Phone (718) 333-0015

201 Kings Hwy
Brooklyn, NY 11223
Phone (929) 446-4500

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669507200000",
    "number": "1295885705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E 8TH ST APT 5F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302748",
            "telephone_number": "917-749-3971",
            "fax_number": "718-373-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 W 5TH ST STE 52",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243962",
            "telephone_number": "917-749-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAROVOY",
        "first_name": "SERGEY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2022-11-27",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018969-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.