Individual provider Active NPI

Christina Olivieri, FNP, NP-C

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1205488129
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01308700 Issued in NJ
Practice address
256 Mason Avenue
Building C, 3Rd Floor
Staten Island, NY 10305
Phone
(718) 226-6398
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F344024 NY
Family Nurse Practitioner 363LF0000X 26NJ01308700 NJ Primary

Addresses

Primary practice location

256 Mason Avenue
Building C, 3Rd Floor
Staten Island, NY 10305

Mailing address

452 Ingram Ave FL 2
Staten Island, NY 10314-4416
Phone (646) 207-2143

Other practice location 1

1 Robert Wood Johnson Pl
New Brunswick, NJ 08901-1928
Phone (732) 828-3000

Other practice location 2

10 Plum St Fl 3
New Brunswick, NJ 08901-2066
Phone (732) 828-3000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cguzzo1@northwell.edu Direct
Direct Messaging Address cguzzo1@northwell.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190926000099 NY Practitioner - Nurse Practitioner 3779813258 Reassigns benefits to 1 organization
I20240530001555 NJ Practitioner - Nurse Practitioner 3779813258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rutgers Health-RWJ Pediatric Critical CareGroup PAC ID 1355390287, 153 clinicians

Practice addresses (Care Compare)

10 Plum St
New Brunswick, NJ 08901-2065
Phone (732) 937-8841

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F344024NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Aug 1, 2019 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Jul 1, 2024 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Jul 1, 2024 Accepting new patients
North Shore - Lij Medical PC CurrentSince Aug 1, 2019 Accepting new patients
Robert Wood Johnson Medical Associates CurrentSince Apr 23, 2024 Accepting new patients

Locations

10 Plum St
Fl 3
New Brunswick, NJ 08901

10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

66 W Gilbert St
Ste 200
Tinton Falls, NJ 07701
Phone (732) 212-0051

300 Community Dr
Plandome, NY 11030

256 Mason Ave
Bldg C
Staten Island, NY 10305
Phone (718) 226-1300

972 Brush Hollow Rd
Westbury, NY 11590

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 1

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": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1205488129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 INGRAM AVE FL 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144416",
            "telephone_number": "646-207-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 MASON AVENUE",
            "address_2": "BUILDING C, 3RD FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-226-6398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Robert Wood Johnson Pl",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089011928",
            "country_code": "US",
            "telephone_number": "732-828-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Plum St Fl 3",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089012066",
            "country_code": "US",
            "telephone_number": "732-828-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVIERI",
        "first_name": "CHRISTINA",
        "credential": "FNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344024",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01308700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cguzzo1@northwell.edu",
            "affiliation": "N",
            "endpointDescription": "northwell email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Na",
            "address_1": "256 Mason Avenue",
            "address_2": "Building C, 3rd floor",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cguzzo1@northwell.edu",
            "affiliation": "N",
            "endpointDescription": "north well email email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "256 Mason Avenue",
            "address_2": "Building C, 3rd floor",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.