Active NPI
Karen L Olivieri, P.A.
- Physician Assistant
- Northport, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 008469
- Practice address
- 325 Main St
Northport, NY 11768-1730 - Phone
- (631) 261-4445
- Fax
- (631) 261-3710
- NPI assigned
- Jun 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 008469 | NY | Primary |
Addresses
Primary practice location
325 Main St
Northport, NY 11768-1730
Mailing address
325 Main St
Northport, NY 11768-1730
Phone (631) 261-4445
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4F9081 | Other | NY | MEDICARE LEGACY |
| 4F9081 | Other | NY | BLUE CROSS/BLUE SHIELD |
| 02383080 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
172 E Main St
Huntington, NY 11743-2948
Phone (631) 385-0022
325 Main St
Northport, NY 11768-1790
Phone (631) 385-0022
70 Glen St
Suite 200
Glen Cove, NY 11542-2854
Phone (516) 484-7893
Hospital & facility affiliations
- Peconic Bay Homehealth Services
- VNS & Hospice of Suffolk Inc Chha
- North Shore University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008469 | NY | MD | Mental Health Counselor |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Glen Cove, NY
- NPI 1700175270
-
- Cardiovascular Disease Physician
- Huntington, NY
- NPI 1609851807
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Riverhead, NY
- NPI 1932155678
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- Home Health Agency
- Northport, NY
- NPI 1356494637
-
- Home Health Agency
- Northport, NY
- NPI 1770580516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303862400000",
"number": "1013914514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 MAIN ST",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117681730",
"telephone_number": "631-261-4445",
"fax_number": "631-261-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 MAIN ST",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117681730",
"telephone_number": "631-261-4445",
"fax_number": "631-261-3710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVIERI",
"first_name": "KAREN",
"middle_name": "L",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-30",
"last_updated": "2011-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "008469",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE LEGACY",
"identifier": "4F9081",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "4F9081",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02383080",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.