Individual provider Active NPI

Anthony S Oliva, M.D.,

  • Surgery Physician
  • Liverpool, NY
National Provider Identifier
1093775330
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
237922 Issued in NY
Practice address
5100 W Taft Rd
Suite 2E
Liverpool, NY 13088-3807
Phone
(315) 634-3399
Fax
(315) 634-3395
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 237922 NY Primary

Addresses

Primary practice location

5100 W Taft Rd
Suite 2E
Liverpool, NY 13088-3807

Mailing address

5100 W Taft Rd
Suite 2E
Liverpool, NY 13088-3807
Phone (315) 634-3399

Other identifiers 1

IdentifierTypeStateIssuer
02727975MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WV2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060210000428 NY Practitioner - General Surgery 1153214812 Reassigns benefits to 2 organizations
I20240819003391 WV Practitioner - General Surgery 1153214812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Boston University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Hospital Center IncGroup PAC ID 8123936010, 290 clinicians

Practice addresses (Care Compare)

527 Medical Park Dr
Bridgeport, WV 26330-9009
Phone (681) 342-3400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Mastectomy1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical PC Surgery CurrentSince Apr 1, 2013 Accepting new patients
St Josephs Hospital Health Center CurrentSince May 2, 2018 Accepting new patients
St Joseph's Hospital Health Center CurrentSince May 2, 2018 Accepting new patients
United Hospital Center, Inc. Surgery CurrentSince Aug 1, 2024 Accepting new patients
North Medical PC Current Accepting new patients
United Hospital Center Past Accepting new patients
Southern Piedmont Surgical Specialists, PLLC Surgery PastSince Feb 5, 2004 Accepting new patients

Locations

4117 Medical Center Dr
#C
Fayetteville, NY 13066
Phone (315) 329-4968

5100 W Taft Rd
Ste 2E
Liverpool, NY 13088
Phone (315) 634-2541

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

916 W Main St
Bridgeport, WV 26330
Phone (304) 842-1034

527 Medical Park Dr
Ste 202
Bridgeport, WV 26330
Phone (304) 933-3850

2673 Davisson Run Rd
Ste 303
Clarksburg, WV 26301

Interoperability endpoints

  • Direct secure messaging: aoliva2367045@direct.trinity-health.org

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 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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093775330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "address_2": "SUITE 2E",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-634-3399",
            "fax_number": "315-634-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "address_2": "SUITE 2E",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-634-3399",
            "fax_number": "315-634-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVA",
        "first_name": "ANTHONY",
        "middle_name": "S",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "237922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02727975",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.