Active NPI
Carmine Olivieri
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1043471691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 122653
- Practice address
- 200 Montague St
Brooklyn, NY 11201-3601 - Phone
- (718) 422-8000
- Fax
- (718) 422-8140
- NPI assigned
- Jun 17, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 122653 | NY | Primary |
Addresses
Primary practice location
200 Montague St
Brooklyn, NY 11201-3601
Mailing address
32 Court St
1900
Brooklyn, NY 11201-4404
Phone (718) 422-8125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Brooklyn Medical Group PC | Pediatrics | Past | Accepting new patients |
| Preferred Health Partners | Past | Accepting new patients |
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.
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1437304136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1043471691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 COURT ST",
"address_2": "1900",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014404",
"telephone_number": "718-422-8125",
"fax_number": "718-422-8140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MONTAGUE ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112013601",
"telephone_number": "718-422-8000",
"fax_number": "718-422-8140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVIERI",
"first_name": "CARMINE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-17",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "122653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.