Organization Active NPI

Og Nurse Practitioner in Adult Health PLLC

  • Adult Health Nurse Practitioner
  • Niagara Falls, NY
National Provider Identifier
1285433672
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
OG NURSE PRACTITIONER IN ADULT HEALTH PLLC
Practice address
10175 Niagara Falls Blvd Ste 1
Niagara Falls, NY 14304-2941
Phone
(716) 320-3504
Fax
(716) 320-3505
NPI assigned
Mar 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Olia Golimowski, NPNPI 1275968141
Title
NP
Phone
(716) 320-3504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

10175 Niagara Falls Blvd Ste 1
Niagara Falls, NY 14304-2941

Mailing address

10175 Niagara Falls Blvd Ste 1
Niagara Falls, NY 14304-2941
Phone (716) 320-3504

Other practice location 1

9097 Main St
Clarence, NY 14031-1965
Phone (716) 320-3504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251205001618 NY Part B Supplier - Clinic/Group Practice 9436642626 Receives reassigned benefits from 1 practitioner
Practice locations: Clarena, NY; Niagara Falls, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1285433672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 NIAGARA FALLS BLVD STE 1",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042941",
            "telephone_number": "716-320-3504",
            "fax_number": "716-320-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 NIAGARA FALLS BLVD STE 1",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042941",
            "telephone_number": "716-320-3504",
            "fax_number": "716-320-3505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9097 Main St",
            "address_purpose": "LOCATION",
            "city": "Clarence",
            "state": "NY",
            "postal_code": "140311965",
            "country_code": "US",
            "telephone_number": "716-320-3504",
            "fax_number": "716-320-3505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OG NURSE PRACTITIONER IN ADULT HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "GOLIMOWSKI",
        "authorized_official_first_name": "OLIA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "716-320-3504",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.