Oliver Masaba, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

278585 Issued in NY

Practice address

9520 Queens Blvd
Rego Park, NY 11374-1136

Phone

(718) 459-1280

NPI assigned

Jun 28, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 1, 2017 through Feb 1, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: oliver.masaba@direct.einstein.edu

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1023304169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741136",
            "telephone_number": "718-459-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741136",
            "telephone_number": "718-459-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASABA",
        "first_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "278585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Martinez Hicks, MSW
• Altagracia Martinez, MSW
• Gina A Martinez, LMSW
• Oxana Martiniouk, CASAC
• Maryam Aghalar Physical Medicine and Rehabilitation PC
• Masada II Car and Limo Service
• Masha Speech Therapy
• Yelena Masheyev, PHARMD
• Arsen Mastov, LCSW
• Ester Matatov

• Physical Medicine & Rehabilitation Physician in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.