Individual provider Active NPI

Yefim Olkovsky, MD

  • Cardiovascular Disease Physician
  • Staten Island, NY
National Provider Identifier
1194723833
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
216694 Issued in NY
Practice address
501 Seaview Ave
Ste 300
Staten Island, NY 10305-3436
Phone
(718) 663-7000
Fax
(718) 663-7090
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 216694 NY Primary

Addresses

Primary practice location

501 Seaview Ave
Ste 300
Staten Island, NY 10305-3436

Mailing address

501 Seaview Ave
Ste 300
Staten Island, NY 10305-3436
Phone (718) 663-7000

Other identifiers 1

IdentifierTypeStateIssuer
02444984MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323000935 NY Practitioner - Cardiovascular Disease (Cardiology) 2860383460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

256 Mason Ave B
Staten Island, NY 10305-3408
Phone (718) 226-1595

Hospital & facility affiliations

  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160
  • Richmond University Medical Center Hospital, Staten Island, NY, CCN 330028
  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216694NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Cardiovascular Disease CurrentSince Dec 10, 2018 Accepting new patients
Physicians of University Hospital, PC CurrentSince Jul 12, 2017 Accepting new patients
Physicians of University Hospital, PC CurrentSince Jul 12, 2017 Accepting new patients
North Shore - Lij Medical PC CurrentSince Dec 10, 2018 Accepting new patients
Staten Island University Hospital Past Accepting new patients

Locations

300 Community Dr
Plandome, NY 11030

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

501 Seaview Ave
Ste 300
Staten Island, NY 10305
Phone (718) 663-5071

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

256 Mason Ave
Fl 2
Staten Island, NY 10305
Phone (718) 226-1362

256 Mason Ave
Bldg B
Staten Island, NY 10305
Phone (718) 226-1271

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

501 Seaview Ave
Ste 301
Staten Island, NY 10305
Phone (718) 249-2900

3311 Hylan Blvd
Staten Island, NY 10306
Phone (718) 351-3111

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: yolkovsky64482@northwell.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1194723833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SEAVIEW AVE",
            "address_2": "STE 300",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053436",
            "telephone_number": "718-663-7000",
            "fax_number": "718-663-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SEAVIEW AVE",
            "address_2": "STE 300",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053436",
            "telephone_number": "718-663-7000",
            "fax_number": "718-663-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLKOVSKY",
        "first_name": "YEFIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "216694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02444984",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.