Active NPI
Michael Fredrick Oliverio, D.O.
- Family Medicine Physician
- North Bellmore, NY
National Provider Identifier
1255359253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 210665
- Practice address
- 521 Jerusalem Ave
North Bellmore, NY 11710-1832 - Phone
- (516) 221-1173
- Fax
- (516) 221-1180
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 210665 | NY | |
| Family Medicine Physician | 207Q00000X | 210665 | NY | Primary |
Addresses
Primary practice location
521 Jerusalem Ave
North Bellmore, NY 11710-1832
Mailing address
521 Jerusalem Ave
North Bellmore, NY 11710-1832
Phone (516) 221-1173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01955857 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
521 Jerusalem Ave
North Bellmore, NY 11710-1832
Phone (516) 221-1173
Hospital & facility affiliations
- Catholic Home Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210665 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kailey Ogilvie Nutrition PLLC | Current | Accepting new patients | |
| Michael Oliverio, D.O., P.C. | Family Medicine | Current | Accepting new patients |
| Martin Torrents, DO, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- North Bellmore, NY
- NPI 1285824953
-
- Registered Dietitian
- Seaford, NY
- NPI 1629893136
-
- Primary Care Clinic/Center
- Rego Park, NY
- NPI 1104128032
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1255359253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 JERUSALEM AVE",
"city": "NORTH BELLMORE",
"state": "NY",
"postal_code": "117101832",
"telephone_number": "516-221-1173",
"fax_number": "516-221-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 JERUSALEM AVE",
"city": "NORTH BELLMORE",
"state": "NY",
"postal_code": "117101832",
"telephone_number": "516-221-1173",
"fax_number": "516-221-1180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVERIO",
"first_name": "MICHAEL",
"middle_name": "FREDRICK",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "NY",
"license": "210665",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "210665",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01955857",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Bellmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.