Kotlyar Medical PC
NPI 1205363454 · Anesthesiology Physician · New York, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kotlyar Medical PC is a Anesthesiology Physician organization in New York, NY (NPI 1205363454).
Provider details
- NPI number
- 1205363454
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vitaly Kotlyar, Owner(917) 862-5558
- License
- 263221 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-05-18
- Last updated
- 2019-10-08
Frequently asked questions
- What is Kotlyar Medical PC's NPI number?
- Kotlyar Medical PC's National Provider Identifier (NPI) is 1205363454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kotlyar Medical PC?
- Kotlyar Medical PC is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Kotlyar Medical PC located?
- Kotlyar Medical PC's practice location on file with NPPES is 369 Lexington Ave Rm 800, New York, NY 10017-6536.
- What is Kotlyar Medical PC's phone number?
- The practice phone number listed in the NPPES registry for Kotlyar Medical PC is (631) 264-2030.
- Does Kotlyar Medical PC accept Medicare?
- Kotlyar Medical PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kotlyar Medical PC?
- The authorized official listed on Kotlyar Medical PC's NPPES record is Vitaly Kotlyar, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kotlyar Medical PC's NPI active?
- Yes — Kotlyar Medical PC's NPI (1205363454) is active in the NPPES registry as of the last update on 2019-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.