Individual provider Active NPI

Olga Yushuvayeva, NP

  • Adult Health Nurse Practitioner
  • Lido Beach, NY
National Provider Identifier
1013579614
Registry record updated Jan 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
309298 Issued in NY
Practice address
228 Greenway Rd
Lido Beach, NY 11561-4829
Phone
(347) 333-8040
Fax
(347) 507-9706
NPI assigned
Jul 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 309298 NY
Adult Health Nurse Practitioner 363LA2200X 309298 NY Primary

Addresses

Primary practice location

228 Greenway Rd
Lido Beach, NY 11561-4829

Mailing address

228 Greenway Rd
Lido Beach, NY 11561-4829
Phone (347) 333-8040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191204001854 NY Practitioner - Nurse Practitioner 0840623997 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Five Star Medical Office PCGroup PAC ID 8820248016, 11 clinicians

Practice addresses (Care Compare)

10407 Metropolitan Ave
Forest Hills, NY 11375-6735
Phone (718) 576-4652

169 Madison Ave
New York, NY 10016-5101

228 Greenway Rd
Lido Beach, NY 11561-4829
Phone (347) 333-8040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Family Practice PC CurrentSince May 16, 2024 Accepting new patients
Five Star Medical Office PC CurrentSince Jan 1, 2020 Accepting new patients
Careathome Medical Practice CurrentSince Apr 1, 2024 Accepting new patients
Baisley Medical Services PC CurrentSince Oct 5, 2019 Accepting new patients
Perfect Health PC CurrentSince Jun 23, 2024 Accepting new patients

Locations

2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663

321 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 385-9180

564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026

10407 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 576-4652

169 Madison Ave
Ste 2817
New York, NY 10016
Phone (917) 410-7931

169 Madison Ave
Ste 2829
New York, NY 10016

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: olga.yushuvayeva@cinq-nyipa.medentdirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767484800000",
    "number": "1013579614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 GREENWAY RD",
            "city": "LIDO BEACH",
            "state": "NY",
            "postal_code": "115614829",
            "telephone_number": "347-333-8040",
            "fax_number": "347-507-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 GREENWAY RD",
            "city": "LIDO BEACH",
            "state": "NY",
            "postal_code": "115614829",
            "telephone_number": "347-333-8040",
            "fax_number": "347-507-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSHUVAYEVA",
        "first_name": "OLGA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2026-01-04",
        "certification_date": "2026-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "309298",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lido Beach, NY

Sources for this page

Verify at the official NPI Registry.