PROSPECT AVE. MEDICAL P.C. NPI 1942695275

NPI Information

  • NPI: 1942695275
  • Provider Name: PROSPECT AVE. MEDICAL P.C.
  • Classification: Physical Medicine & Rehabilitation - 2081P2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Doing Business As: PROSPECT MEDICAL
  • Address: 3049 OCEAN PKWY FL 2
    BROOKLYN, NY
    ZIP 11235
  • Phone: (718) 704-9909

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NPI Details

PROSPECT AVE. MEDICAL P.C. is a pain medicine physical medicine rehabilitation in Brooklyn, NY. The provider is 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 AVE. MEDICAL P.C. NPI is 1942695275. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Prospect Medical.

The provider's business location address is:

3049 OCEAN PKWY FL 2
BROOKLYN, NY
ZIP 11235
Phone: (718) 704-9909
Fax: (347) 702-5419

The provider's authorized official is Yura Stolyarsky .
The authorized official title is Medical Director and has the following contact phone number (718) 704-9909.

The enumeration date for this NPI number is 4/3/2015 and was last updated on 2/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081P2900XPhysical Medicine & RehabilitationPain Medicine275763NEW YORKYes
2261QP2000XClinic/CenterPhysical Therapy275763NEW YORKNo
3261QR0400XClinic/CenterRehabilitation275763NEW YORKNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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