Individual provider Active NPI

Olga Kosoy, PA-C

  • Physician Assistant
  • Belleville, NJ
National Provider Identifier
1275749814
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00103300 Issued in NJ
Practice address
5 Franklin Ave
Suite 401
Belleville, NJ 07109-3532
Phone
(973) 450-8999
Fax
(973) 450-9669
NPI assigned
May 14, 2007
Last updated
Dec 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00103300 NJ Primary

Addresses

Primary practice location

5 Franklin Ave
Suite 401
Belleville, NJ 07109-3532

Mailing address

18 Schweinberg Dr
Roseland, NJ 07068-1133
Phone (973) 917-9383

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00103300NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes Associates P C Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1275749814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SCHWEINBERG DR",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681133",
            "telephone_number": "973-917-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FRANKLIN AVE",
            "address_2": "SUITE 401",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093532",
            "telephone_number": "973-450-8999",
            "fax_number": "973-450-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSOY",
        "first_name": "OLGA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00103300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.