PROSPECT MEDICAL
NPI 1942695275
Physical Medicine & Rehabilitation - Pain Medicine in Brooklyn, NY

Active since April 03, 2015
3049 OCEAN PKWY FL 2, BROOKLYN, NY 11235(718) 704-9909(347) 702-5419 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 11, 2020, Aug 28, 2018, Oct 1, 2016 (3 updates tracked since 2016).

About Prospect Medical NPPES

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

PROSPECT MEDICAL (NPI 1942695275) is a healthcare organization registered as a pain medicine in Brooklyn, New York and active in the NPI registry since April 2015. The organization lists Yura Stolyarsky, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1942695275
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NamePROSPECT AVE. MEDICAL P.C.
Location Address3049 OCEAN PKWY FL 2Brooklyn, NY 11235
Mailing AddressPo Box 230384Brooklyn, NY 11223-0384 · (718) 704-9909 · Fax (347) 702-5419
Fax(347) 702-5419
Organization SubpartNo
Authorized OfficialYura StolyarskyMedical Director · (718) 704-9909
Enumeration DateApril 3, 2015
Last NPPES UpdateFebruary 11, 20203 updates tracked since enumeration
✔ NPI 1942695275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in NY · 275763
Definition
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.
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X · License 275763 (NY)
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X · License 275763 (NY)
3049 OCEAN PKWY FL 2, Brooklyn, NY 11235

Other Names 1

Doing Business AsProspect Medical

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prospect Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Prospect Medical, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Medicine and Rehabilitation
NPI 1104116375
3049 OCEAN PKWY FL 2
Brooklyn, NY 11235
(718) 704-9909
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Prospect Ave. Medical P.C.'s NPI number?

The NPI number for Prospect Ave. Medical P.C. is 1942695275. It was assigned to this organization in the NPPES registry on April 3, 2015. The provider is doing business as Prospect Medical.

Where is Prospect Ave. Medical P.C. located?

Prospect Ave. Medical P.C. is located at 3049 Ocean Pkwy Fl 2, Brooklyn, NY 11235. The listed phone number is (718) 704-9909.

What is Prospect Ave. Medical P.C.'s specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Prospect Ave. Medical P.C. enrolled in Medicare?

Yes. Prospect Ave. Medical P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prospect Ave. Medical P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Prospect Ave. Medical P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prospect Ave. Medical P.C. was last updated on February 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.