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OLEG KOTELSKIY D.O., P.C.
NPI 1508907510
Family Medicine in Brooklyn, NY

Active since February 11, 2007
3816 NOSTRAND AVE, BROOKLYN, NY 11235(347) 713-6871(347) 713-6946 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oleg Kotelskiy D.o., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLEG KOTELSKIY D.O., P.C. (NPI 1508907510) is a healthcare organization registered as a family medicine in Brooklyn, New York and active in the NPI registry since February 2007. The organization lists Oleg Kotelskiy, Physician, as its authorized official.

NPPES Registry Identity

NPI1508907510
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOLEG KOTELSKIY D.O., P.C.
Location Address3816 NOSTRAND AVEBrooklyn, NY 11235-2013
Mailing Address3816 Nostrand AveBrooklyn, NY 11235-2013 · (347) 713-6871 · Fax (347) 713-6946
Phone(347) 713-6871
Fax(347) 713-6946
Organization SubpartNo
Authorized OfficialOleg KotelskiyPhysician · (347) 713-6871
Enumeration DateFebruary 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1508907510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 2050591
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3816 NOSTRAND AVE, Brooklyn, NY 11235
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Other Identifiers 1

Other2050591NY · License Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1056542

Oleg Kotelskiy Do · North Woodmere, NY
Expired · Jul 18, 2026
CLIA Number33D1056542
Laboratory TypePhysician Office
Certificate Effective DateJuly 19, 2024
Certificate Expiration DateJuly 18, 2026
Laboratory DirectorDr. Oleg Kotelskiy
Laboratory Phone(347) 713-6871
Laboratory LocationOleg Kotelskiy Do765 Hillcrest Place, North Woodmere, NY 11581
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLEG KOTELSKIY D.O.
Family Medicine
3816 NOSTRAND AVE
BROOKLYN, NY 11235
Kings County (718) 338-2323
BOZENA A LASZCZYK
Physical Therapist
3816 NOSTRAND AVE
BROOKLYN, NY 11235
Kings County (718) 615-2944

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oleg Kotelskiy D.O., P.C.'s NPI number?

The NPI number for Oleg Kotelskiy D.O., P.C. is 1508907510. It was assigned to this organization in the NPPES registry on February 11, 2007.

Where is Oleg Kotelskiy D.O., P.C. located?

Oleg Kotelskiy D.O., P.C. is located at 3816 Nostrand Ave, Brooklyn, NY 11235. The listed phone number is (347) 713-6871.

What is Oleg Kotelskiy D.O., P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Oleg Kotelskiy D.O., P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.