Individual provider Active NPI

Olga Cretu

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1144063876
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2925458 Issued in NY
Practice address
704 Avenue X FL 2
Brooklyn, NY 11235-6121
Phone
(718) 676-6116
NPI assigned
Jun 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 2925458 NY Primary

Addresses

Primary practice location

704 Avenue X FL 2
Brooklyn, NY 11235-6121

Mailing address

130 72ND St Apt 4G
Brooklyn, NY 11209-2005
Phone (347) 357-7698

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2925458NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kiddie Talk, Inc Single Specialty CurrentSince Jun 23, 2024 Accepting new patients

Organizations & group practices 1

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": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1144063876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 72ND ST APT 4G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092005",
            "telephone_number": "347-357-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 AVENUE X FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356121",
            "telephone_number": "718-676-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRETU",
        "first_name": "OLGA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "2925458",
            "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 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.