Organization Active NPI

Emma Stolyar DO LLC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1760429005
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EMMA STOLYAR DO LLC
Practice address
8405 Bay Pkwy
Brooklyn, NY 11214-3359
Phone
(718) 232-1120
Fax
(718) 232-1136
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Dr. Emma StolyarNPI 1457399008
Title
President
Phone
(718) 232-1120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041109001196 NY Part B Supplier - Clinic/Group Practice 2567425655 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0975300Emma Stolyar DO8405 Bay Parkway, Brooklyn, NY 11214Certificate of waiverJul 4, 2028

National Provider Directory

National Provider Directory

Locations

2419 Richmond Rd
Staten Island, NY 10306
Phone (718) 232-1120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1760429005",
    "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": {
        "organization_name": "EMMA STOLYAR DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "STOLYAR",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-232-1120",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Mar 11, 2013; 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.