NPIMap

Individual provider Active NPI

Olga Corazon Irizarry, MD

  • Obstetrics & Gynecology Physician
  • Easton, PA
National Provider Identifier
1316470438
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD469408 Issued in PA
Practice address
4051 Freemansburg Ave
Easton, PA 18045-5596
Phone
(484) 503-7474
NPI assigned
Apr 5, 2017
Last updated
May 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT212721 PA
Obstetrics & Gynecology Physician 207V00000X 25MA11160100 NJ
Obstetrics & Gynecology Physician 207V00000X MD469408 PA Primary

Addresses

Primary practice location

4051 Freemansburg Ave
Easton, PA 18045-5596

Mailing address

4051 Freemansburg Ave
Easton, PA 18045-5596
Phone (484) 503-7474

Other practice location 1

306 S New St # 301
Bethlehem, PA 18015-1652
Phone (484) 503-7474

Other practice location 2

39 Roseberry St Ste 2
Phillipsburg, NJ 08865-1627
Phone (908) 847-1037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210707002072 PA Practitioner - Obstetrics/Gynecology 4082016548 Reassigns benefits to 2 organizations
I20210812002059 NJ Practitioner - Obstetrics/Gynecology 4082016548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Perelman School of Med at the University of Pennsylvania, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

39 Roseberry St
Suite 2
Phillipsburg, NJ 08865-1627
Phone (908) 847-1037

4051 Freemansburg Ave
Easton, PA 18045-5596
Phone (484) 503-7474

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD469408PAMDObstetrics & Gynecology Physician
MT212721PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Oct 1, 2023 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Aug 1, 2021 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Aug 1, 2021 Accepting new patients
St. Luke's Warren Physician Group, PC Current Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Aug 1, 2021 Accepting new patients
St. Luke's Physician Group, Inc. Obstetrics & Gynecology CurrentSince Aug 1, 2021 Accepting new patients
Star Community Health, Inc CurrentSince Oct 1, 2023 Accepting new patients
St Luke's Hospital Past Accepting new patients
St Lukes Hospital-Anderson Campus Past Accepting new patients

Locations

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

39 Roseberry St
Ste 2
Phillipsburg, NJ 08865
Phone (908) 847-1037

755 Memorial Pkwy
Ste 302
Phillipsburg, NJ 08865
Phone (908) 847-6722

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

77 S Commerce Way
Bethlehem, PA 18017
Phone (484) 526-2538

4051 Freemansburg Ave
Easton, PA 18045
Phone (484) 503-7474

Interoperability endpoints

  • Direct secure messaging: olga.irizarry@slpg.direct-sluhn.org

Organizations & group practices 10

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 8

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1316470438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 FREEMANSBURG AVE",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455596",
            "telephone_number": "484-503-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 FREEMANSBURG AVE",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455596",
            "telephone_number": "484-503-7474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 S New St # 301",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180151652",
            "country_code": "US",
            "telephone_number": "484-503-7474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39 Roseberry St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Phillipsburg",
            "state": "NJ",
            "postal_code": "088651627",
            "country_code": "US",
            "telephone_number": "908-847-1037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "OLGA",
        "middle_name": "CORAZON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT212721",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA11160100",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD469408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.