Individual provider Active NPI

Olga A Tusheva, M.D.

  • Obstetrics & Gynecology Physician
  • Mullica Hill, NJ
National Provider Identifier
1124466859
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA10699500 Issued in NJ
Practice address
698 Mullica Hill Rd Ste 220
Mullica Hill, NJ 08062-4453
Phone
(856) 845-4061
NPI assigned
Jun 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 25MA10699500 NJ Primary

Addresses

Primary practice location

698 Mullica Hill Rd Ste 220
Mullica Hill, NJ 08062-4453

Mailing address

1120 Delsea Dr N
Glassboro, NJ 08028-1444
Phone (856) 507-2783

Other practice location 1

800 Jessup Rd Ste 809
West Deptford, NJ 08086-9354
Phone (856) 845-4061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20170823001797 NY Practitioner - Obstetrics/Gynecology 2264704451 Reassigns benefits to 1 organization
I20200803001280 NJ Practitioner - Obstetrics/Gynecology 2264704451 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10699500NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Dec 1, 2024 Accepting new patients
OB Hospitalist Services New Jersey, PA Obstetrics & Gynecology CurrentSince Sep 25, 2023 Accepting new patients
Medical Associates of Englewood, PC CurrentSince May 26, 2020 Accepting new patients
A Woman'S Place, LLC Obstetrics & Gynecology CurrentSince Jan 7, 2024 Accepting new patients
K & K Grand Park LLC Past Accepting new patients
Physician Partners of Englewood, PC Obstetrics & Gynecology Past Accepting new patients
Monmouth Medical Center Inc Past Accepting new patients

Locations

310 State Route 34
Colts Neck, NJ 07722
Phone (732) 578-9640

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

609 Washington St
Hoboken, NJ 07030
Phone (201) 659-7700

609 Washington St
#2
Hoboken, NJ 07030
Phone (201) 659-7700

820 County Line Rd E
Lakewood, NJ 08701
Phone (732) 364-2711

34 Sycamore Ave
Ste 2A
Little Silver, NJ 07739
Phone (732) 747-9310

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/sqiH60CNKO9o0PByEO9XAxX0dZX5s5b2/

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.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1124466859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 DELSEA DR N",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281444",
            "telephone_number": "856-507-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 MULLICA HILL RD STE 220",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080624453",
            "telephone_number": "856-845-4061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Jessup Rd Ste 809",
            "address_purpose": "LOCATION",
            "city": "West Deptford",
            "state": "NJ",
            "postal_code": "080869354",
            "country_code": "US",
            "telephone_number": "856-845-4061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUSHEVA",
        "first_name": "OLGA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA10699500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

Verify at the official NPI Registry.