Individual provider Active NPI

Yanina Kotlyar, MD

  • Internal Medicine Physician
  • New City, NY
National Provider Identifier
1396717153
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
204324 Issued in NY
Practice address
20 Squadron Blvd
Suite 550
New City, NY 10956-5200
Phone
(845) 634-8800
Fax
(845) 638-1679
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 204324 NY Primary

Addresses

Primary practice location

20 Squadron Blvd
Suite 550
New City, NY 10956-5200

Mailing address

20 Squadron Blvd
Suite 550
New City, NY 10956-5200
Phone (845) 634-8800

Other identifiers 1

IdentifierTypeStateIssuer
01714167MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041222000646 NY Practitioner - Internal Medicine 2264490226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sciometrix IncGroup PAC ID 9335511443, 46 clinicians
Rockland Ny Medical Services, P.C.Group PAC ID 2365490059, 9 clinicians

Practice addresses (Care Compare)

1060 Broadway
Suite 100
Menands, NY 12204-2507
Phone (248) 369-3315

20 Squadron Blvd
Suite 400
New City, NY 10956-5258
Phone (845) 634-8800

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • VNS Westchester Chha Home health agency, White Plains, NY, CCN 337146
  • Montefiore Nyack Hospital Home Health Agency Home health agency, New City, NY, CCN 337168
  • Helen Hayes Hospital Hospital, West Haverstraw, NY, CCN 330405
  • Nyack Hospital Hospital, Nyack, NY, CCN 330104

Merit-based Incentive Payment System (MIPS)

Final score
25.93 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
86.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
Rockland Ny Medical Services, P.C. Internal Medicine CurrentSince Aug 1, 2004 Accepting new patients
Sciometrix Inc CurrentSince Dec 1, 2024 Accepting new patients
Harmony Medical Care, PC CurrentSince Dec 1, 2025 Accepting new patients
Sciometrix LLC PastSince Oct 10, 2021 Accepting new patients

Locations

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

1060 Broadway
Ste 100
Menands, NY 12204
Phone (248) 369-3315

20 Squadron Blvd
Ste 400
New City, NY 10956
Phone (845) 634-8800

20 Squadron Blvd
Ste 550
New City, NY 10956
Phone (845) 536-2239

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1396717153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SQUADRON BLVD",
            "address_2": "SUITE 550",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565200",
            "telephone_number": "845-634-8800",
            "fax_number": "845-638-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SQUADRON BLVD",
            "address_2": "SUITE 550",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565200",
            "telephone_number": "845-634-8800",
            "fax_number": "845-638-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLYAR",
        "first_name": "YANINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "204324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01714167",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.