Active NPI
Jane Olsefski, PA
- Physician Assistant
- Ithaca, NY
National Provider Identifier
1154439073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 005187
- Practice address
- 821 Cliff St
Ithaca, NY 14850-2017 - Phone
- (607) 277-2170
- Fax
- (607) 277-2329
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 005187 | NY | Primary |
Addresses
Primary practice location
821 Cliff St
Ithaca, NY 14850-2017
Mailing address
45 Creamery Rd
PO Box 60
Slaterville Springs, NY 14881
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Em-III Medical Services, PC | Past | 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.
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1053413120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208217600000",
"number": "1154439073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 CREAMERY RD",
"address_2": "PO BOX 60",
"city": "SLATERVILLE SPRINGS",
"state": "NY",
"postal_code": "14881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 CLIFF ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148502017",
"telephone_number": "607-277-2170",
"fax_number": "607-277-2329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEFSKI",
"first_name": "JANE",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2008-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "005187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.