Boleslav Kotlyar, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

25MA10677700 Issued in NJ

Practice address

306 Main St Ste 2
Millburn, NJ 07041-1178

Phone

(973) 467-2020

NPI assigned

Mar 25, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Ophthalmology

Education

State University of New York at Buffalo School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monmouth Retina Consultants PAGroup PAC ID 2860492170, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009
• Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076

Merit-based Incentive Payment System (MIPS)

Final score

95.13 of 100Reported as group

Quality

90.26

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: bkotlyar244324@epicdirect.rwjbh.org
• Direct secure messaging: boleslav.kotlyar.p7@direct.grophthalmology.nextgenshare.com
• Direct secure messaging: bkotlyar@monmouthretina.intellechartdirect.net

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.

• Monmouth Retina Consultants, P.a.

  • Ophthalmology Physician
  • Little Silver, NJ
  • NPI 1437179942
  Medicare reassignment Care Compare group NPD
• Central Eye Care LTD

  • Ophthalmology Physician
  • Arlington Heights, IL
  • NPI 1609140409
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clara Maass Medical Center

  • General Acute Care Hospital
  • Belleville, NJ
  • NPI 1902901333
  Care Compare affiliation
• Cooperman Barnabas Medical Center Inc

  • General Acute Care Hospital
  • Livingston, NJ
  • NPI 1396857488
  Care Compare affiliation

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1386986669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 MAIN ST STE 2",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411178",
            "telephone_number": "973-467-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MAIN ST STE 2",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411178",
            "telephone_number": "973-467-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLYAR",
        "first_name": "BOLESLAV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IL",
            "license": "036.143658",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "286387",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NJ",
            "license": "25MA10677700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Knihnicky, DO
• Kelly P Knowles, MD
• Lyudmila Kolker
• Adam Kopelan
• Robert Charles Kornhaber, PHD
• William F Kottler, MD
• Rachel Kraycirik
• Scott Krosser, DMD
• Kubick & Kubick
• Christian John Kubick

• Retina Specialist (Ophthalmology) Physician in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Retina Specialist (Ophthalmology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.