Individual provider Active NPI

James Samuel Oliverio, NP

  • Acute Care Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1063525376
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F430249 Issued in NY
Practice address
3 Upton Park
Rochester, NY 14607-1751
Phone
(201) 654-6397
Fax
(201) 608-9241
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X F430249 NY Primary

Addresses

Primary practice location

3 Upton Park
Rochester, NY 14607-1751

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (201) 654-6397

Other practice location 1

989 Blossom Rd
Rochester, NY 14610-2251
Phone (201) 654-6397

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
I20090415000184 NY Practitioner - Nurse Practitioner 0042367799 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ilm Medical Care PLLCGroup PAC ID 2769610989, 37 clinicians

Practice addresses (Care Compare)

128 Beach 115TH St
Rockaway Park, NY 11694-2408
Phone (718) 474-6400

3 Upton Park
Rochester, NY 14607-1751
Phone (201) 654-6397

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F430249NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Jun 1, 2008 Accepting new patients
Ilm Medical Care PLLC CurrentSince Nov 7, 2024 Accepting new patients
The Unity Hospital of Rochester CurrentSince Dec 21, 2020 Accepting new patients
Rochester General Hospital CurrentSince Jun 1, 2008 Accepting new patients
Rochester General Hospital Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Dec 21, 2020 Accepting new patients

Locations

600 E Crescent Ave
Ste 305
Upper Saddle River, NJ 07458

2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700

4646 Fairport Nine Mile Point Rd
Fairport, NY 14450
Phone (585) 377-0350

353 Beach 48th St
Far Rockaway, NY 11691
Phone (718) 471-5000

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

3 Upton Park
Rochester, NY 14607
Phone (585) 241-2100

128 Beach 115th St
Rockaway Park, NY 11694
Phone (718) 474-6400

Organizations & group practices 7

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 2

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1063525376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "201-654-6397",
            "fax_number": "201-608-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 UPTON PARK",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071751",
            "telephone_number": "201-654-6397",
            "fax_number": "201-608-9241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "989 Blossom Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146102251",
            "country_code": "US",
            "telephone_number": "201-654-6397",
            "fax_number": "201-608-9241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVERIO",
        "first_name": "JAMES",
        "middle_name": "SAMUEL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F430249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.