Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diana Koltovski, DO

Individual provider Family Medicine Physician · NPI 1225616683

Diana Koltovski, DO is a Family Practice in Forest Hills, New York. Qualified in 2020, 6 years ago. Practices with Advantagecare Physicians PC, a 310-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

96-10 Metropolitan Ave
Forest Hills, NY 11375-6625
Phone: (718) 459-0400
Fax: (718) 670-6479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 327 Beach 19th St, Far Rockaway, NY 11691-4423 — (718) 869-7108

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 332550 (NY)

Record details

NPI number1225616683
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing address55 Water St Fl 2, New York, NY 10041-0010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Advantagecare Physicians Pc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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