Olga Abduakhadov, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

FR0435669172 Issued in NY

Practice address

2114 E 27TH St FL 1
Brooklyn, NY 11229-5012

Phone

(347) 267-0904

NPI assigned

Jul 17, 2013

Last updated

Jul 17, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: olga.abduakhadov@direct.bayonnemedicalcenter.md

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.

• Abduakhadov Psychiatric Services PLLC

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1982591418
  Medicare reassignment NPD Authorized official
• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545
  Medicare reassignment Care Compare group NPD
• Ijkg Opco LLC

  dba Bayonne University Hospital

  • Skilled Nursing Facility
  • Bayonne, NJ
  • NPI 1437356755
  NPD
• Ijkg Opco LLC

  dba Bayonne University Hospital

  • Psychiatric Hospital Unit
  • Bayonne, NJ
  • NPI 1568669380
  NPD (past)

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1306287438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 E 27TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295012",
            "telephone_number": "347-267-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 E 27TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295012",
            "telephone_number": "347-267-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDUAKHADOV",
        "first_name": "OLGA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "FR0435669172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aissata Abdoulaye, CLC
• Gelan Abdrabo
• Ahmed Abdrabou
• Afaf F Abdu, M.D.
• Abduakhadov Psychiatric Services PLLC
• Kamila Abdukadyrova, MS.SPED
• Sarah Abdul Sater
• Sharon Abdul-Haqq
• Khadija A Abdul-Majid, MSW
• Bayeena Abdul-Rahim

• Psychiatry Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.

Verify at the official NPI Registry.