Active NPI
Phillip Ulyanovskiy, M.D.
- Family Medicine Physician
- Richmond Hill, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 299959
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
- Jamaica Hospital Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1047 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60373 | CT | MD | Family Medicine Physician |
| ME149501 | FL | MD | Family Medicine Physician |
| 299959 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Right Health PC | Family Medicine | Current | Accepting new patients |
| Old City Health | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Connecticut, LLC | Family Medicine | Current | Accepting new patients |
| TJH Medical Services, P.C. | Family Medicine | Current | Accepting new patients |
| Flow Health PC | Family Medicine | Current | Accepting new patients |
| Regenerative Medicine of North Florida LLC | Current | Accepting new patients | |
| Bristol Hospital Multi Specialty Group, Inc | Family Medicine | Current | Accepting new patients |
| Right Health PC | Current | Accepting new patients | |
| Vedha Health Services PLLC | Family Medicine | Current | Accepting new patients |
| True Springs Health LLC | Family Medicine | Current | Accepting new patients |
| Primary Care Specialists of Orlando LLC | Family Medicine | Current | Accepting new patients |
| Nuvance Health Medical Practice CT, Inc. | Family Medicine | Current | Accepting new patients |
| Dover Shores Family Practice | Family Medicine | Current | Accepting new patients |
| Dr Phillip Omega, LLC | Current | Accepting new patients | |
| Traditions Family Medicine, LLC | Family Medicine | Current | 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
- phillip.ulyanovskiy.1@31553.direct.athenahealth.com
- https://api.platform.athenahealth.com/16084/brand/1/csg/1/fhir/r4
- 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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1417683707
-
- Internal Medicine Physician
- Newington, CT
- NPI 1316769334
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1861382004
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
Family Medicine
-
- General Practice Physician
- Novi, MI
- NPI 1619586898
-
- General Practice Physician
- Bristol, CT
- NPI 1649265679
Family Medicine
-
- Internal Medicine Physician
- Manchester, CT
- NPI 1558696153
Family Medicine
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1417826496
-
- Family Medicine Physician
- Melbourne, FL
- NPI 1144766635
-
- Family Medicine Physician
- Royal Oak, MI
- NPI 1578334058
-
- Physical Medicine & Rehabilitation Physician
- St Augustine, FL
- NPI 1245008119
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond Hill, NY
- NPI 1245370717
-
- Home Health Agency
- Southfield, MI
- NPI 1063477875
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.