Individual provider Active NPI

Olga Belostotsky, M.D., PH.D.

  • Allergy & Immunology Physician
  • New York, NY
National Provider Identifier
1386772754
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
226767 Issued in NY
Practice address
47 E 77TH St Ste 201
New York, NY 10075-1730
Phone
(646) 688-3443
Fax
(646) 688-4332
NPI assigned
Feb 28, 2007
Last updated
Jul 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 226767 NY Primary
Rheumatology Physician 207RR0500X 226767 NY

Addresses

Primary practice location

47 E 77TH St Ste 201
New York, NY 10075-1730

Mailing address

350 E 82ND St Apt 11C
New York, NY 10028-4916
Phone (917) 573-3224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050926000480 NY Practitioner - RheumatologyPractitioner - Allergy/Immunology 1355375692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Allergy/Immunology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

47 E 77TH St
Suite 201
New York, NY 10075-1730
Phone (646) 688-3443

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J. Chandler MD, PLLC Rheumatology PastSince Dec 7, 2018 Accepting new patients
Gary J. Stadtmauer, MD PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ICAEAD/Endpoint/ICAEAD

Organizations & group practices 4

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 1

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1386772754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E 82ND ST APT 11C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284916",
            "telephone_number": "917-573-3224",
            "fax_number": "212-988-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 E 77TH ST STE 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751730",
            "telephone_number": "646-688-3443",
            "fax_number": "646-688-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELOSTOTSKY",
        "first_name": "OLGA",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "226767",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "226767",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.