Individual provider Active NPI

Olga Aleksandrova, MD

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1154740553
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
137981 Issued in FL
Practice address
7491 Conroy Widermere Rd
Suite C
Orlando, FL 32835
Phone
(407) 717-4400
Fax
(801) 769-0862
NPI assigned
Apr 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 291406 NY
Internal Medicine Physician 207R00000X 137981 FL Primary

Addresses

Primary practice location

7491 Conroy Widermere Rd
Suite C
Orlando, FL 32835

Mailing address

11300 Cirta Circle Apt 108
Windermere, FL 34786
Phone (407) 717-4400

Other practice location 1

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-6205

Other practice location 2

191 Bradley Ave
Staten Island, NY 10314-5166
Phone (718) 698-8800

Other practice location 3

375 Seguine Ave
Staten Island, NY 10309-3932
Phone (718) 226-2000

Other practice location 4

347 Edison St
Staten Island, NY 10306-3034
Phone (718) 351-1136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
137981FLMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1154740553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 CIRTA CIRCLE APT 108",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "34786",
            "telephone_number": "407-717-4400",
            "fax_number": "801-769-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7491 CONROY WIDERMERE RD",
            "address_2": "SUITE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32835",
            "telephone_number": "407-717-4400",
            "fax_number": "801-769-0862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Seaview Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103053436",
            "country_code": "US",
            "telephone_number": "718-226-6205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "191 Bradley Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103145166",
            "country_code": "US",
            "telephone_number": "718-698-8800",
            "fax_number": "718-667-9711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 Seguine Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103093932",
            "country_code": "US",
            "telephone_number": "718-226-2000",
            "fax_number": "718-667-9711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "347 Edison St",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103063034",
            "country_code": "US",
            "telephone_number": "718-351-1136",
            "fax_number": "718-667-9711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEKSANDROVA",
        "first_name": "OLGA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "291406",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "137981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.