Individual provider Active NPI

Olga Y Celleri-Pincus, DDS

  • Dentist
  • Freeport, NY
National Provider Identifier
1144232877
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
046178 Issued in NY
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

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02213812MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190226002984 NY Practitioner - Dentist 4789905381 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046178NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Health Care Long Island CurrentSince Jan 6, 2019 Accepting new patients
Harmony Health Care Long Island CurrentSince Jan 6, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.