Organization Active NPI

Yacov R Stollman

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1992550362
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
YACOV R STOLLMAN
Practice address
126 Greenpoint Ave Lowr Level
Brooklyn, NY 11222-2202
Phone
(718) 514-1616
NPI assigned
Apr 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Yacov Stollman, MD
Title
MD
Phone
(917) 586-7049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

126 Greenpoint Ave Lowr Level
Brooklyn, NY 11222-2202

Mailing address

546 Fairway Dr
Woodmere, NY 11598-1907
Phone (917) 586-7049

National Provider Directory

National Provider Directory

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": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1992550362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 FAIRWAY DR",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981907",
            "telephone_number": "917-586-7049",
            "fax_number": "718-389-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 GREENPOINT AVE LOWR LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222202",
            "telephone_number": "718-514-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YACOV R STOLLMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "STOLLMAN",
        "authorized_official_first_name": "YACOV",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "917-586-7049",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "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 Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.