Active NPI
Christopher T Olivia, M.D.
- Ophthalmology Physician
- Camden, NJ
National Provider Identifier
1164427241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 24MA07196600
- Practice address
- 3 Cooper PLZ
RM 510
Camden, NJ 08103-1438 - Phone
- (856) 342-7720
- Fax
- (856) 342-6620
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 24MA07196600 | NJ | Primary |
Addresses
Primary practice location
3 Cooper PLZ
RM 510
Camden, NJ 08103-1438
Mailing address
30 Isabella Street
Suite 300
Pittsburgh, PA 15212
Phone (412) 330-2403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8890901 | Medicaid | NJ |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24MA07196600 | NJ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Physicians of Springfield, Inc | Ophthalmology | Past | Accepting new patients |
| Soll Eye PC of NJ | Ophthalmology | Past | Accepting new patients |
| Cooper Medical Supply | Past | Accepting new patients | |
| West Penn Allegheny Health System Inc. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Durable Medical Equipment & Medical Supplies
- Cherry Hill, NJ
- NPI 1043361173
-
- Ophthalmology Physician
- Camden, NJ
- NPI 1821081258
-
- Ophthalmology Physician
- Springfield, OH
- NPI 1952315939
-
- Oncology Clinic/Center
- Pittsburgh, PA
- NPI 1346489143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292198400000",
"number": "1164427241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 ISABELLA STREET",
"address_2": "SUITE 300",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15212",
"telephone_number": "412-330-2403",
"fax_number": "412-330-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 COOPER PLZ",
"address_2": "RM 510",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031438",
"telephone_number": "856-342-7720",
"fax_number": "856-342-6620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVIA",
"first_name": "CHRISTOPHER",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2010-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "24MA07196600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8890901",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.