Active NPI
Olga Y Celleri-Pincus, DDS
- Dentist
- Freeport, NY
National Provider Identifier
1144232877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 046178
- Practice address
- 101 S Bergen PL
Freeport, NY 11520-3528 - Phone
- (516) 623-3600
- Fax
- (516) 623-9191
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 046178 | NY | |
| Dentist | 122300000X | 046178 | NY | Primary |
Addresses
Primary practice location
101 S Bergen PL
Freeport, NY 11520-3528
Mailing address
926 Lawrence CT
North Bellmore, NY 11710-1014
Phone (516) 539-0466
Other practice location 1
926 Lawrence Ct
North Bellmore, NY 11710-1014
Phone (516) 539-0466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02213812 | Medicaid | NY |
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046178 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Health Care Long Island | Current | Accepting new patients | |
| Harmony Health Care Long Island | Current | Accepting new patients | |
| Harmony Health Care Long Island | Current | Accepting new patients |
Locations
101 S Bergen Pl
Freeport, NY 11520
Phone (516) 623-3600
135 Main St
Hempstead, NY 11550
Phone (516) 292-3111
1600 Stewart Ave
Ste 300
Westbury, NY 11590
Phone (516) 546-4209
Interoperability endpoints
- olga.pincus@lifqhc.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Elmont, NY
- NPI 1336669670
-
- Federally Qualified Health Center (FQHC)
- North Baldwin, NY
- NPI 1205704319
-
- Federally Qualified Health Center (FQHC)
- Freeport, NY
- NPI 1881028108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1144232877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 LAWRENCE CT",
"city": "NORTH BELLMORE",
"state": "NY",
"postal_code": "117101014",
"telephone_number": "516-539-0466",
"fax_number": "516-539-0466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S BERGEN PL",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115203528",
"telephone_number": "516-623-3600",
"fax_number": "516-623-9191"
}
],
"practiceLocations": [
{
"address_1": "926 Lawrence Ct",
"address_purpose": "LOCATION",
"city": "North Bellmore",
"state": "NY",
"postal_code": "117101014",
"country_code": "US",
"telephone_number": "516-539-0466",
"fax_number": "516-539-0466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CELLERI-PINCUS",
"first_name": "OLGA",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "046178",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "046178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02213812",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.