Health and Endurance Medical P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

HEALTH AND ENDURANCE MEDICAL P.C.

Practice address

110 5TH St
Cresskill, NJ 07626-2002

Phone

(917) 974-7172

Fax

(201) 313-8888

NPI assigned

Sep 3, 2008

Last updated

Jan 19, 2016By 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. Sergei Kochlatyi, MDNPI 1104877836

Title

President

Phone

(917) 974-7172

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Sergei Kochlatyi, M.D.

  • Internal Medicine Physician
  • Cresskill, NJ
  • NPI 1104877836

  NY

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1801044821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076700519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 5TH ST",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262002",
            "telephone_number": "917-974-7172",
            "fax_number": "201-313-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND ENDURANCE MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "KOCHLATYI",
        "authorized_official_first_name": "SERGEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-974-7172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyeryoung Gwie
• Phyllis C. Hancock, LCSW
• HCP Cresskill NJ Opco, LLC (Sunrise of Cresskill)
• HCP S-H Opco TRS, LLC
• HCP S-H Opco TRS, LLC (Sunrise of Cresskill)
• Jessica Henry, NP
• Cheysser Hernandez
• Danielle Hillman, RN BSN
• Jessica Mary Hillman
• Robert William Hoenshel, P.T.

• Medical Specialty Clinic/Center in Cresskill, NJ
• Providers in Cresskill, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.