Olp Medical Consultant

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

261798 Issued in NY

Legal business name

OLP MEDICAL CONSULTANT

Practice address

2628 Broadway Apt 15B
New York, NY 10025-5009

Phone

(908) 327-1874

NPI assigned

Sep 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Olga Petryna, MD

Title

MD/Ceo

Phone

(908) 327-1874

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1508291394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 BROADWAY APT 15B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255009",
            "telephone_number": "908-327-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 BROADWAY APT 15B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255009",
            "telephone_number": "908-327-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLP MEDICAL CONSULTANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "PETRYNA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "MD/CEO",
        "authorized_official_telephone_number": "908-327-1874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "261798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rheumatology Physician in New York, NY
• Providers in New York, NY by specialty
• Rheumatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.