Stephanie M. Oliva MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

269214 Issued in MA

Legal business name

STEPHANIE M. OLIVA MD PC

Practice address

10 Research PL Ste 206
North Chelmsford, MA 01863-2439

Phone

(978) 275-1390

Fax

(978) 275-1394

NPI assigned

Jun 22, 2018

Organization subpart

No

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

Authorized official

Name

Stephanie M Oliva, MDNPI 1750624482

Title

Physician

Phone

(609) 744-7442

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Oliva, M.D.

  • Family Medicine Physician
  • Leominster, MA
  • NPI 1750624482
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539475200000",
    "number": "1467947432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 UNITED DR STE 102",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791027",
            "telephone_number": "508-238-8646",
            "fax_number": "508-230-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RESEARCH PL STE 206",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632439",
            "telephone_number": "978-275-1390",
            "fax_number": "978-275-1394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 Green St",
            "address_purpose": "LOCATION",
            "city": "Gardner",
            "state": "MA",
            "postal_code": "014401336",
            "country_code": "US",
            "telephone_number": "978-669-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEPHANIE M. OLIVA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-10-14",
        "status": "A",
        "authorized_official_last_name": "OLIVA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "609-744-7442",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "269214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110120133A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikunjbala Amit Shah
• Scott A Sigman, MD
• Chandra Simonds, LICSW
• Kwende Smith, DPM
• Staffing Embassy Inc
• Stony Brook Primary Care LLC
• June M Stott, ARNP
• Laurence E Sweeney, R.PH.
• Joanne Tarantino, MSW, LICSW
• Kurt Tautenhan

• Family Medicine Physician in North Chelmsford, MA
• Providers in North Chelmsford, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.