Individual provider Active NPI

Emma Boris Stolyar, D.O.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1457399008
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
213445 Issued in NY
Practice address
8405 Bay Pkwy
Brooklyn, NY 11214-3359
Phone
(718) 232-1120
Fax
(718) 232-1136
NPI assigned
Jun 4, 2006
Last updated
Oct 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 213445 NY Primary

Addresses

Primary practice location

8405 Bay Pkwy
Brooklyn, NY 11214-3359

Mailing address

8405 Bay Pkwy
Brooklyn, NY 11214-3359
Phone (718) 232-1120

Other identifiers 1

IdentifierTypeStateIssuer
01984427MedicaidNY

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
I20031125000180 NY Practitioner - Family Practice 8123922770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8405 Bay Pkwy
Brooklyn, NY 11214-3359
Phone (718) 232-1120

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213445NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emma Stolyar DO LLC Family Medicine CurrentSince Feb 1, 2004 Accepting new patients

Networks

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1457399008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143359",
            "telephone_number": "718-232-1120",
            "fax_number": "718-232-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143359",
            "telephone_number": "718-232-1120",
            "fax_number": "718-232-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLYAR",
        "first_name": "EMMA",
        "middle_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "213445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01984427",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.