Individual provider Active NPI

Olga Zhdanova, M.D.

  • Nephrology Physician
  • New York, NY
National Provider Identifier
1437283900
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
236568 Issued in NY
Practice address
550 1St Ave
Obv A612
New York, NY 10016-6402
Phone
(212) 263-5158
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 236568 NY
Nephrology Physician 207RN0300X 236568 NY Primary

Addresses

Primary practice location

550 1St Ave
Obv A612
New York, NY 10016-6402

Mailing address

526 E 20TH St Apt 8B
New York, NY 10009-1317
Phone (212) 505-2129

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
I20071201000053 NY Practitioner - Internal Medicine 3577652379 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236568NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
New York University Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients

Locations

560 1st Ave
#1800
New York, NY 10016
Phone (212) 263-5654

550 1st Ave
#A612
New York, NY 10016
Phone (212) 263-3978

462 1st Ave
#5N
New York, NY 10016

550 1st Ave
#147
New York, NY 10016
Phone (212) 263-3293

560 1st Ave
#18
New York, NY 10016

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: ozhdanova43856@nyumc.direct-ci.com
  • Direct secure messaging: ozhdanova684859@nychhc.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1437283900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 E 20TH ST APT 8B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100091317",
            "telephone_number": "212-505-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 1ST AVE",
            "address_2": "OBV A612",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHDANOVA",
        "first_name": "OLGA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "236568",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "236568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.