Tatyana Kotlyarevsky MD PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

165404 Issued in NY

Legal business name

TATYANA KOTLYAREVSKY MD PC

Practice address

1811 Avenue J
Brooklyn, NY 11230-3808

Phone

(718) 253-7474

NPI assigned

Sep 6, 2012

Last updated

Sep 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tatyana Kotlyarevsky, MD

Title

Owner

Phone

(718) 253-7474

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sofya Gershengorina, M.D

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1407939838
  NPD (past)

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1518216464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 S OCEAN BLVD APT 1402",
            "city": "HIGHLAND BEACH",
            "state": "FL",
            "postal_code": "334873389",
            "telephone_number": "561-455-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 AVENUE J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303808",
            "telephone_number": "718-253-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATYANA KOTLYAREVSKY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "KOTLYAREVSKY",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-253-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "165404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Tatis, PT
• Sonia Deechyn Tatninov, LMT
• Tamara Tatunchak
• Tatyana Filenko Medical P C
• Tatyana Girshin Medical, P.C.
• Tatyana Semenova Physician P.C.
• Tatyana Yakovleva Acupuncturist P.C.
• Channa Taub Lehman, P.T.
• Abraham M Taub, DO
• Alan Z Taub, LCSW

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.