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Individual provider Active NPI

Olaf Butchma, DO

  • Internal Medicine Physician
  • Westhampton, NY
National Provider Identifier
1326037474
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
181777 Issued in NY
Practice address
78 Old Country Rd
Westhampton, NY 11977-1219
Phone
(516) 365-1953
Fax
(516) 365-1475
NPI assigned
Oct 20, 2005
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 181777 NY Primary

Addresses

Primary practice location

78 Old Country Rd
Westhampton, NY 11977-1219

Mailing address

PO Box 367
Manhasset, NY 11030-0367
Phone (516) 365-1953

Other practice location 1

101 Louden Ave
Amityville, NY 11701-2736
Phone (516) 365-1953

Other practice location 2

63 Oakcrest Ave
Middle Island, NY 11953-1415
Phone (516) 365-1953

Other identifiers 1

IdentifierTypeStateIssuer
01367591MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060823000051 NY Practitioner - Internal Medicine 8022011576 Reassigns benefits to 2 organizations
Practice locations: Amityville, NY; East Meadow, NY; Holtsville, NY; Middle Island, NY; West Hampton, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olaf Butchma DO PCGroup PAC ID 5597183244, 8 clinicians

Practice addresses (Care Compare)

3617 Parsons Blvd
Flushing, NY 11354-5931
Phone (718) 888-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.82 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.06

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Island Medical Associates, PLLC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Olaf Butchma DO PC Internal Medicine CurrentSince Jun 28, 1996 Accepting new patients
Riverhead Care Center LLC Past Accepting new patients
Massapequa Center LLC Past Accepting new patients
Fulton Commons Care Center, Inc. Past Accepting new patients
Nassau Operating Company LLC Past Accepting new patients
MMR Care Corp Past Accepting new patients
Island Rehabilitation and Nursing Center Inc PastSince Sep 1, 2022 Accepting new patients
Ucp of Queens Past Accepting new patients
Ucp of Queens Past Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients
Hampton NH Operating LLC Past Accepting new patients
Ucp of Queens Past Accepting new patients
Kennedy Pavilion RH, LLC Past Accepting new patients

Locations

101 Louden Ave
Amityville, NY 11701
Phone (347) 489-9954

60 Merrick Ave
East Meadow, NY 11554
Phone (516) 222-9300

3617 Parsons Blvd
Flushing, NY 11354
Phone (718) 888-5200

1 Greenwich St
Hempstead, NY 11550
Phone (516) 353-3387

5537 Expressway Dr N
Holtsville, NY 11742
Phone (631) 758-3336

63 Oakcrest Ave
Middle Island, NY 11953
Phone (631) 594-3800

78 Old Country Rd
Westhampton, NY 11977
Phone (631) 288-0101

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Central Island HealthcarePlainview, NY, CCN 335284 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2024
May 1, 2024
Island Nursing and Rehabilitation CenterHoltsville, NY, CCN 335835 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 1, 2022
Feb 13, 2025
Acadia Center for Nursing and RehabilitationRiverhead, NY, CCN 335254 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2025
Jun 1, 2025
The Pavillion at Queens for Rehabilitation & NursingFlushing, NY, CCN 335804 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 17, 2017
Apr 14, 2026
Massapequa Center Rehabilitation & NursingAmityville, NY, CCN 335213 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2021
Apr 14, 2026

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1326037474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110300367",
            "telephone_number": "516-365-1953",
            "fax_number": "516-365-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 OLD COUNTRY RD",
            "city": "WESTHAMPTON",
            "state": "NY",
            "postal_code": "119771219",
            "telephone_number": "516-365-1953",
            "fax_number": "516-365-1475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Louden Ave",
            "address_purpose": "LOCATION",
            "city": "Amityville",
            "state": "NY",
            "postal_code": "117012736",
            "country_code": "US",
            "telephone_number": "516-365-1953",
            "fax_number": "516-365-1476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "63 Oakcrest Ave",
            "address_purpose": "LOCATION",
            "city": "Middle Island",
            "state": "NY",
            "postal_code": "119531415",
            "country_code": "US",
            "telephone_number": "516-365-1953",
            "fax_number": "516-365-1476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTCHMA",
        "first_name": "OLAF",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2023-12-13",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "181777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01367591",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westhampton, NY

Sources for this page

Verify at the official NPI Registry.