Individual provider Active NPI

Marcelo Ramon Olarte, M.D.

  • Neurology Physician
  • New York, NY
National Provider Identifier
1215942008
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
117146 Issued in NY
Practice address
903 Park Ave
1St. Floor
New York, NY 10075-0338
Phone
(212) 988-9100
Fax
(212) 535-4796
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 117146 NY Primary

Addresses

Primary practice location

903 Park Ave
1St. Floor
New York, NY 10075-0338

Mailing address

903 Park Ave
1St. Floor
New York, NY 10075-0338
Phone (212) 988-9100

Other identifiers 1

IdentifierTypeStateIssuer
00697190MedicaidNY

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 12, 2024 through Jun 12, 2028

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1970
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

903 Park Ave
1St Floor
Ny, NY 10075-0362

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
117146NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York Neurology 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.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1215942008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 PARK AVE",
            "address_2": "1ST. FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750338",
            "telephone_number": "212-988-9100",
            "fax_number": "212-535-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 PARK AVE",
            "address_2": "1ST. FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750338",
            "telephone_number": "212-988-9100",
            "fax_number": "212-535-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLARTE",
        "first_name": "MARCELO",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "117146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00697190",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.