Individual provider Active NPI

Maria Olavarria, M.S. ED

  • Specialist
  • Plainview, NY
National Provider Identifier
1487917928
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1160835 Issued in NY
Practice address
255 Executive Dr
Plainview, NY 11803-1718
Phone
(516) 576-0962
NPI assigned
Jun 20, 2012
Last updated
Jun 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1160835 NY Primary

Addresses

Primary practice location

255 Executive Dr
Plainview, NY 11803-1718

Mailing address

52 Ridge Rd Apt 3a
Lyndhurst, NJ 07071-1258
Phone (347) 743-6975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1160835NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Building Blocks Academy of New Jersey Current Accepting new patients
Tiny Steps ABA LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1487917928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 RIDGE RD APT 3A",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711258",
            "telephone_number": "347-743-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 EXECUTIVE DR",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031718",
            "telephone_number": "516-576-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAVARRIA",
        "first_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "M.S. ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1160835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.