Active NPI
Olga Vitiv
- Family Nurse Practitioner
- Holmdel, NJ
National Provider Identifier
1295298925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00915100
- Practice address
- 23 Main St Ste 1D
Holmdel, NJ 07733-2136 - Phone
- (732) 818-6883
- NPI assigned
- Apr 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00915100 | NJ | Primary |
Addresses
Primary practice location
23 Main St Ste 1D
Holmdel, NJ 07733-2136
Mailing address
23 Main St Ste 1D
Holmdel, NJ 07733-2136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 State Route 66
Neptune, NJ 07753-2645
Hospital & facility affiliations
- Visiting Nurse Association of Central Jersey Home Care and Hospice
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visiting Nurse Association of Central Jersey, Inc. | Current | Accepting new patients | |
| Visiting Nurse Association of Central Jersey, Inc. | Current | Accepting new patients | |
| VPS Medical Services, PC | Current | Accepting new patients |
Locations
23 Main St
#D1
Holmdel, NJ 07733
Phone (732) 224-6914
3600 State Route 66
Fl 4
Tinton Falls, NJ 07753
Phone (732) 241-4194
Interoperability endpoints
- olga.vitiv.p2@direct.vnahg.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Internal Medicine Physician
- Neptune, NJ
- NPI 1265077739
-
- Geriatric Medicine (Family Medicine) Physician
- Holmdel, NJ
- NPI 1336195791
-
- Home Health Agency
- Holmdel, NJ
- NPI 1144275892
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Toms River, NJ
- NPI 1912964818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1295298925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 MAIN ST STE 1D",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077332136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 MAIN ST STE 1D",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077332136",
"telephone_number": "732-818-6883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITIV",
"first_name": "OLGA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-10",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00915100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holmdel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.