Individual provider Active NPI

Olga Makrak-Sturniolo, ANP-C

  • Adult Health Nurse Practitioner
  • East Setauket, NY
National Provider Identifier
1437603289
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
307934 Issued in NY
Practice address
24 Research Way Ste 500
East Setauket, NY 11733-3470
Phone
(631) 444-6270
NPI assigned
Aug 10, 2016
Last updated
Dec 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 307934 NY Primary

Addresses

Primary practice location

24 Research Way Ste 500
East Setauket, NY 11733-3470

Mailing address

6 Lakeview CT
Eastport, NY 11941-1208

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161006001614 NY Practitioner - Nurse Practitioner 1759679764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

24 Research Way
Suite 500
East Setauket, NY 11733-3470
Phone (631) 444-6270

P O Box
Suite 1554
Stony Brook, NY 11790-0989

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Urology, University Faculty Practice Corporation CurrentSince Jul 9, 2020 Accepting new patients
Edward Condon Medical PC CurrentSince Aug 12, 2016 Accepting new patients
University Hospital at Stony Brook Current Accepting new patients

Locations

6080 Jericho Tpke
Ste 314
Commack, NY 11725
Phone (631) 462-2200

1715 N Ocean Ave
Medford, NY 11763
Phone (631) 462-2200

24 Research Way
Ste 500
Setauket, NY 11733
Phone (631) 444-6470

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1427/brand/1/csg/1/fhir/r4
  • Direct secure messaging: olga.makrak-sturniolo@direct.stonybrookmedicine.edu

Organizations & group practices 3

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 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": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1437603289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LAKEVIEW CT",
            "city": "EASTPORT",
            "state": "NY",
            "postal_code": "119411208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 RESEARCH WAY STE 500",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333470",
            "telephone_number": "631-444-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKRAK-STURNIOLO",
        "first_name": "OLGA",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.