DR. SERGEI KOCHLATYI (M.D.) – Internal Medicine Physician, NPI 1104877836

DR. SERGEI KOCHLATYI (M.D.) is a healthcare provider. based in Cresskill, New Jersey. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 218265 (NY). The NPI Number for DR. SERGEI KOCHLATYI (M.D.) is 1104877836

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. SERGEI KOCHLATYI (M.D.)
NPI
1104877836
Phone
(917) 974-7172
Address
110 5TH ST
Enumeration Date
15 May 2006
Last Update Date
28 December 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7185811000
Graduation Year
1993 (33 years ago)
PAC ID
7315939550
Professional Enrollment ID
I20040330001520
Address ID
NY104711205BR5901XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,893 INTERNAL MEDICINE in NJ

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Provider Addresses for DR. SERGEI KOCHLATYI (M.D.)

  • 110, 5th Street, Cresskill, Bergen County, New Jersey, 07626, United States

    CRESSKILL, NJ 076262002

    Phone: (917) 974-7172

    Fax: (201) 313-8888

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040330001520IInternal MedicineNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes3,443459$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,253292$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes445442$0
View full utilization report →

Insurance plans in this area (ZIP 07626)

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Reviews

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Frequently asked questions

Is there an official ID for DR. SERGEI KOCHLATYI (M.D.) in U.S. healthcare records?
The official identifier for DR. SERGEI KOCHLATYI (M.D.) is NPI 1104877836.
Active or inactive — what applies to DR. SERGEI KOCHLATYI (M.D.)?
You should see DR. SERGEI KOCHLATYI (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. SERGEI KOCHLATYI (M.D.)?
DR. SERGEI KOCHLATYI (M.D.)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. SERGEI KOCHLATYI (M.D.) associated with Cresskill?
Public fields place DR. SERGEI KOCHLATYI (M.D.) around Cresskill, New Jersey. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. SERGEI KOCHLATYI (M.D.) is noted as May 15, 2006 where the registry provides it.

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