Vitaly Kotlyar, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

263221-1 Issued in NY

Practice address

369 Lexington Ave FL 8
New York, NY 10017-6536

Phone

(631) 264-2030

Fax

(631) 264-1418

NPI assigned

Jun 18, 2009

Last updated

Oct 8, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Anesthesiology

Education

State University of New York at Stony Brook, School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kotlyar Medical PCGroup PAC ID 9234408766, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kotlyar Medical PC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1205363454
  Medicare reassignment Care Compare group NPD Authorized official
• Vitality Medical Health PC

  • Pain Medicine (Anesthesiology) Physician
  • Old Westbury, NY
  • NPI 1609713403
  NPD Authorized official
• Anesthesia Care Medical P.C.

  • Anesthesiology Physician
  • Old Westbury, NY
  • NPI 1255249827
  Authorized official Same address or phone
• Jeremy J Frederick MD PC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1659711174
  NPD (past)
• Queens Physician Associates, PC

  • Anesthesiology Physician
  • Flushing, NY
  • NPI 1740222926
  NPD (past)
• Unique Pain Medicine PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brooklyn, NY
  • NPI 1265735344
  NPD (past)

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1841427747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 PLANTING FIELD RD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771818",
            "telephone_number": "917-862-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 LEXINGTON AVE FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176536",
            "telephone_number": "631-264-2030",
            "fax_number": "631-264-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLYAR",
        "first_name": "VITALY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "263221-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Jennifer Kotler
• Susan Ann Kotlier, M.D.
• Brett Seth Kotlus, M.D.
• Kotlyar Medical PC
• Joshua Kotlyar, MD
• Nicole Kotnik, PHARMD
• Alexander Kotov, NP
• Chris Samuel Kotsen, PSY.D
• Daniela Kotsonis
• Jagdeesh Satya Kottapalli, MD

• Anesthesiology Physician in New York, NY
• Providers in New York, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.

Verify at the official NPI Registry.