DR. BOLESLAV KOTLYAR


Address: 306 Main St Ste 2, Millburn, NJ 07041-1178
Phone: 9734672020

DR. BOLESLAV KOTLYAR (NPI# 1386986669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386986669
Entity Type Individual
Full Name DR. BOLESLAV KOTLYAR
Credential MD
Practice Address 306 Main St Ste 2
Millburn
NJ 07041-1178
Practice Telephone 9734672020
Mailing Telephone 9734672020
Enumeration Date 2013-03-25
Last Update Date 2019-08-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207WX0107X Ophthalmology
Specialization: Retina Specialist
036.143658 IL Allopathic & Osteopathic Physicians
Y 207WX0107X Ophthalmology
Specialization: Retina Specialist
25MA10677700 NJ Allopathic & Osteopathic Physicians
N 207WX0107X Ophthalmology
Specialization: Retina Specialist
286387 NY Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
450 Clarkson Ave, Box 1262, Department Suny Downstate Medical Center, Brooklyn, NY 11203 7182708867

Office Location

Street Address 306 MAIN ST STE 2
City MILLBURN
State NJ
Zip Code 07041-1178

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932696879 Michael J. Kahn Psychologist 114 Millburn Avenue, Suite Number 200, Millburn, NJ 07041 2018-04-17
1780063586 Beth Israel Medicial Center General Acute Care Hospital 927 Ridgewood Road, Millburn, NJ 07041 2015-05-26
1457762577 Amy Ladetsky Occupational Therapist 25 Greenwood Drive, Millburn, NJ 07041 2014-05-12
1033384193 Doris Marie Breckenridge Psychiatry & Neurology 116 Millburn Avenue, Suite 200, Millburn, NJ 07041 2008-04-29
1477722627 M. Mai-tram D. Ho Chiropractor 58 Mountain Ave, Millburn, NJ 07041 2008-02-21
1689880320 Wendy Caroline Wisz Dentist 250 Millburn Ave., Millburn, NJ 07041 2007-05-16
1578775680 Margaret M Mcintyre Dentist 421 Essex St, Millburn, NJ 07041 2007-05-03
1225189210 Regina Ann Schaefer Social Worker 55 Bleeker Street, Millburn, NJ 07041 2007-01-16
1124188800 Patricia Ann Delgaldo Social Worker 368 Essex Street, 2nd Floor, Millburn, NJ 07041 2006-12-11
1366541690 Mahesh R Desai Internal Medicine 120 Millburn Avenue, Suite M2, Millburn, NJ 07041 2006-09-22
Find all providers in zip 07041

Taxonomy Information

Taxonomy Code 207WX0107X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology
Specialization Retina Specialist

Taxonomy Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new]
- Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730574872 Konstantin Astafurov Ophthalmology 10 Plum St Ste 600, New Brunswick, NJ 08901-2065 2015-04-06
1679625172 Associated Retinal Surgeons, Pa Ophthalmology 8 Ranoldo Ter, Cherry Hill, NJ 08034-2112 2007-01-17
1013910942 Haris Irfan Amin Ophthalmology 780 Route 37 W, Ste 200, Toms River, NJ 08755-5059 2005-05-24
1013280890 Ravi Dilip Patel Ophthalmology 780 Rte 37 W, Suite 200, Toms River, NJ 08755-5059 2012-02-09
1831345578 Retina Care Center, P.C. Ophthalmology 1255 Route 70 Ste 31n, Lakewood, NJ 08701-5973 2008-08-13
1316085566 Mohammedyusuf Ebrahimadham Hajee Ophthalmology 780 Rte 37 W, Suite 200, Toms River, NJ 08755-5059 2007-02-01

Competitor

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City MILLBURN
Zip Code 07041

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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