Individual provider Active NPI

Phillip Ulyanovskiy, M.D.

  • Family Medicine Physician
  • Richmond Hill, NY
National Provider Identifier
1821471665
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
299959 Issued in NY
Practice address
8900 Van Wyck Expy
Richmond Hill, NY 11418-2897
Phone
(718) 206-6768
Fax
(718) 206-8455
NPI assigned
Jun 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 60373 CT
Family Medicine Physician 207Q00000X 4301503619 MI
Family Medicine Physician 207Q00000X ME149501 FL
Family Medicine Physician 207Q00000X 299959 NY Primary

Addresses

Primary practice location

8900 Van Wyck Expy
Richmond Hill, NY 11418-2897

Mailing address

300 Cadman PLZ W FL 12
Brooklyn, NY 11201-3226

Other practice location 1

954 Lake Baldwin Ln
Orlando, FL 32814-6651
Phone (407) 315-2271

Other practice location 2

4540 Southside Blvd Ste 401
Jacksonville, FL 32216-5488
Phone (904) 567-5338

Other practice location 3

3800 W Eau Gallie Blvd Ste 101
Melbourne, FL 32934-3285
Phone (321) 323-3618

Other practice location 4

4711 Curry Ford Rd Ste B
Orlando, FL 32812-2704
Phone (407) 315-2271

Other practice location 5

100 Whetstone Pl Ste 208
St Augustine, FL 32086-5775
Phone (904) 447-7377

Other practice location 6

1950 E Wattles Rd Ste 110
Troy, MI 48085-5099
Phone (248) 453-9883

Other practice location 7

25500 Meadowbrook Rd Ste 208
Novi, MI 48375-1882
Phone (248) 200-9240

Other practice location 8

71 Haynes St
Manchester, CT 06040
Phone (860) 646-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY, FL, MI, TX5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20180719003927 CT Practitioner - Family Practice 8325395403 Reassigns benefits to 4 organizations
I20210728001413 NY Practitioner - Family Practice 8325395403 Reassigns benefits to 1 organization
I20240313001180 FL Practitioner - Family Practice 8325395403 Reassigns benefits to 3 organizations
I20240314003165 MI Practitioner - Family Practice 8325395403 Reassigns benefits to 1 organization
I20260224000259 TX Practitioner - Family Practice 8325395403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flow Health PCGroup PAC ID 4486147535, 4 clinicians
Right Health, PCGroup PAC ID 0244659092, 18 clinicians
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians
Vedha Health Services PLLCGroup PAC ID 6103267802, 6 clinicians
Dover Shores Family PracticeGroup PAC ID 7517336431, 14 clinicians
TJH Medical Services PCGroup PAC ID 8527960533, 215 clinicians

Practice addresses (Care Compare)

1903 Central Dr
Suite 215
Bedford, TX 76021-5865
Phone (407) 315-2271

1950 E Wattles Rd
Suite 110
Troy, MI 48085-5099
Phone (248) 453-9883

24 Stevens St
Norwalk, CT 06850-3852
Phone (203) 852-2000

25500 Meadowbrook Rd
Suite 208
Novi, MI 48375-1882
Phone (248) 200-9240

418 N Main St
Suite 200
Royal Oak, MI 48067-1813
Phone (248) 200-9240

4711 Curry Ford Rd
Suite B
Orlando, FL 32812-2704
Phone (407) 275-9014

8900 Van Wyck Expwy
Jamaica, NY 11418
Phone (718) 206-6742

Hospital & facility affiliations

  • Amber Home Health Care, Inc Home health agency, Southfield, MI, CCN 237527
  • Jamaica Hospital Medical Center Hospital, Jamaica, NY, CCN 330014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1047
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60373CTMDFamily Medicine Physician
ME149501FLMDFamily Medicine Physician
299959NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Right Health PC Family Medicine CurrentSince Feb 8, 2024 Accepting new patients
Old City Health CurrentSince Feb 7, 2024 Accepting new patients
Hospitalist Medicine Physicians of Connecticut, LLC Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
TJH Medical Services, P.C. Family Medicine CurrentSince Jul 9, 2021 Accepting new patients
Flow Health PC Family Medicine CurrentSince Jan 12, 2026 Accepting new patients
Regenerative Medicine of North Florida LLC CurrentSince Feb 7, 2024 Accepting new patients
Bristol Hospital Multi Specialty Group, Inc Family Medicine CurrentSince Jun 29, 2020 Accepting new patients
Right Health PC CurrentSince Feb 8, 2024 Accepting new patients
Vedha Health Services PLLC Family Medicine Current Accepting new patients
True Springs Health LLC Family Medicine CurrentSince Dec 13, 2025 Accepting new patients
Primary Care Specialists of Orlando LLC Family Medicine Current Accepting new patients
Nuvance Health Medical Practice CT, Inc. Family Medicine CurrentSince Jan 15, 2023 Accepting new patients
Dover Shores Family Practice Family Medicine CurrentSince Apr 5, 2024 Accepting new patients
Dr Phillip Omega, LLC CurrentSince Dec 23, 2024 Accepting new patients
Traditions Family Medicine, LLC Family Medicine CurrentSince Apr 5, 2024 Accepting new patients
The Schulman and Schachne Institute for Nursing and Rehabilitation Inc. Past Accepting new patients
Jamaica Hospital Past Accepting new patients
Healthy Minors LLC Family Medicine Past Accepting new patients
Jamaica Hospital Past Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

240 Church St
Newington, CT 06111
Phone (860) 667-2256

4540 Southside Blvd
Ste 401
Jacksonville, FL 32216
Phone (904) 566-9256

550 Balmoral Cir N
Ste 203
Jacksonville, FL 32218
Phone (321) 684-3003

3800 W Eau Gallie Blvd
Ste 101
Melbourne, FL 32934
Phone (321) 323-3618

3800 W Eau Gallie Blvd
Ste 105
Melbourne, FL 32934
Phone (321) 323-3618

954 Lake Baldwin Ln
Orlando, FL 32814
Phone (407) 315-2271

4711 Curry Ford Rd
Ste B
Orlando, FL 32812
Phone (407) 275-6810

100 Whetstone Pl
Ste 208
St Augustine, FL 32086
Phone (904) 447-7377

25500 Meadowbrook Rd
Ste 208
Novi, MI 48375
Phone (248) 200-9240

418 N Main St
Ste 200
Royal Oak, MI 48067
Phone (248) 200-9240

1950 E Wattles Rd
Ste 110
Troy, MI 48085
Phone (248) 453-9883

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

1903 Central Dr
Ste 215
Bedford, TX 76021
Phone (817) 508-0447

8101 Boat Club Rd
Ste 318
Fort Worth, TX 76179
Phone (407) 315-2271

Networks

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

Interoperability endpoints

  • Direct secure messaging: phillip.ulyanovskiy.1@31553.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16084/brand/1/csg/1/fhir/r4
  • Direct secure messaging: pulyanovskiy97469@direct.medisys.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 2

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": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1821471665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CADMAN PLZ W FL 12",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 VAN WYCK EXPY",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182897",
            "telephone_number": "718-206-6768",
            "fax_number": "718-206-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "954 Lake Baldwin Ln",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328146651",
            "country_code": "US",
            "telephone_number": "407-315-2271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4540 Southside Blvd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322165488",
            "country_code": "US",
            "telephone_number": "904-567-5338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 W Eau Gallie Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329343285",
            "country_code": "US",
            "telephone_number": "321-323-3618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4711 Curry Ford Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328122704",
            "country_code": "US",
            "telephone_number": "407-315-2271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Whetstone Pl Ste 208",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865775",
            "country_code": "US",
            "telephone_number": "904-447-7377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 E Wattles Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480855099",
            "country_code": "US",
            "telephone_number": "248-453-9883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25500 Meadowbrook Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483751882",
            "country_code": "US",
            "telephone_number": "248-200-9240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "71 Haynes St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "06040",
            "country_code": "US",
            "telephone_number": "860-646-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULYANOVSKIY",
        "first_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "60373",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301503619",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME149501",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "299959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

Verify at the official NPI Registry.