Olga Orlov, MD PA

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

MA044803 Issued in NJ

Legal business name

OLGA ORLOV, MD PA

Practice address

508 Hamburg Tpke
Suite 107
Wayne, NJ 07470-8482

Phone

(973) 942-0521

NPI assigned

Aug 24, 2009

Last updated

Aug 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olga Orlov, M.D.NPI 1407813215

Title

President

Phone

(973) 942-0521

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olga Orlov, M.D.

  • Pediatric Adolescent Medicine Physician
  • Wayne, NJ
  • NPI 1407813215
  Authorized official Same address or phone

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1306078431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HAMBURG TPKE",
            "address_2": "SUITE 107",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708482",
            "telephone_number": "973-942-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 HAMBURG TPKE",
            "address_2": "SUITE 107",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708482",
            "telephone_number": "973-942-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLGA ORLOV, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "ORLOV",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-942-0521",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "MA044803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Adolescent Medicine Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.