Individual provider Active NPI

Oksana Bolson, N.P.

  • Adult Health Nurse Practitioner
  • Arverne, NY
National Provider Identifier
1275804973
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F304473-1 Issued in NY
Practice address
430 Beach 68TH St
Arverne, NY 11692-1407
Phone
(718) 474-5200
NPI assigned
Jan 26, 2012
Last updated
Jan 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F304473-1 NY Primary

Addresses

Primary practice location

430 Beach 68TH St
Arverne, NY 11692-1407

Mailing address

2137 81St St
Brooklyn, NY 11214-2507
Phone (646) 696-5717

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120321000002 NY Practitioner - Nurse Practitioner 6800056326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1312 Kings Hwy
3Rd Floor
Brooklyn, NY 11229-1904

430 Beach 68 St
Arverne, NY 11692

9602 4TH Ave
Apt 6N
Brooklyn, NY 11209-7822

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
304473NYMDLicensed Practical Nurse
F304473-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Medical Care PC CurrentSince Feb 2, 2012 Accepting new patients

Locations

2829 Ocean Pkwy
Ste 2
Brooklyn, NY 11235
Phone (718) 891-6500

660 Louisiana Ave
Brooklyn, NY 11239
Phone (718) 669-7100

430 Beach 68th St
Far Rockaway, NY 11692
Phone (718) 474-0357

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.

Hospital & facility affiliations 2

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": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1275804973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2137 81ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142507",
            "telephone_number": "646-696-5717",
            "fax_number": "646-696-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 BEACH 68TH ST",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921407",
            "telephone_number": "718-474-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLSON",
        "first_name": "OKSANA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F304473-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arverne, NY

Sources for this page

Verify at the official NPI Registry.