PROSPECT MEDICAL – NPI #1942695275
Physical Medicine & Rehabilitation

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

PROSPECT MEDICAL is a provider located in BROOKLYN, NY. NPPES has assigned the NPI number 1942695275 to PROSPECT MEDICAL on April 03, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PROSPECT MEDICAL” is a dba name, the actual legal business name for this organization is PROSPECT AVE. MEDICAL P.C.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2081P2900X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pain Medicine

The NPI profile was previously updated about 6 years ago on Feb 11, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROSPECT MEDICAL below.

NPI Profile for
PROSPECT AVE. MEDICAL P.C.

NPI Number
1942695275
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROSPECT AVE. MEDICAL P.C.
Doing Business As (dba): PROSPECT MEDICAL
Primary location
3049 OCEAN PKWY FL 2
BROOKLYN, NY 11235
Phone: (718) 704-9909 Fax: (347) 702-5419
Mailing address
PO BOX 230384
BROOKLYN, NY 11223-0384
Phone: (718) 704-9909 Fax: (347) 702-5419
Organization Subpart
No
Authorized Official
YURA STOLYARSKY
MEDICAL DIRECTOR
Phone: (718) 704-9909
Updated
Certification Date
Feb 11, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081P2900X
- Physical Medicine & Rehabilitation / Pain Medicine (Primary)
NY 275763
261QR0400X
- Clinic/Center / Rehabilitation
NY 275763
261QP2000X
- Clinic/Center / Physical Therapy
NY 275763

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.