Olga Kasymowa

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

317329 Issued in NY

Practice address

112 Timber Ridge Dr
Staten Island, NY 10306-1116

Phone

(718) 753-9964

NPI assigned

Nov 30, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1477067304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 TIMBER RIDGE DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 TIMBER RIDGE DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061116",
            "telephone_number": "718-753-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASYMOWA",
        "first_name": "OLGA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "317329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dara Ann Kass, MD
• Lala Kassim, MS ED.
• Zachary Keil Kassirer, MD
• Stanley Kaster
• Jaiyeola Bolaji Kasumu, MSC
• Zlata Katanov
• Edip Katayifci, MD
• Jennifer Melissa Kateman, M.A
• Dmitriy Katev, R,N,
• Tatyana Kateva, FNP-BC

• Licensed Practical Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.