Individual provider Active NPI

Judith Olshin, DDS

  • Dentist
  • Brookville, NY
National Provider Identifier
1508932237
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
048836 Issued in NY
Practice address
189 Wheatley Rd
Brookville, NY 11545
Phone
(516) 686-4400
Fax
(516) 686-4425
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
New York University College of Dentistry, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

857 S Oyster Bay Rd
Bethpage, NY 11714-1030

Hospital & facility affiliations

  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260316003055 NY Practitioner - Dentist 9234185927 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048836NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Evans Center, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Charles Evans Center, Inc CurrentSince Feb 1, 2026 Accepting new patients

Locations

857 S Oyster Bay Rd
Bethpage, NY 11714
Phone (516) 622-8888

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 048836 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

189 Wheatley Rd
Brookville, NY 11545

Mailing address

560 Amherst Dr
Woodmere, NY 11598
Phone (516) 374-5584

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
P00292112OtherRAILROAD MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508932237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 AMHERST DR",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "11598",
            "telephone_number": "516-374-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 WHEATLEY RD",
            "city": "BROOKVILLE",
            "state": "NY",
            "postal_code": "11545",
            "telephone_number": "516-686-4400",
            "fax_number": "516-686-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSHIN",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "048836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00292112",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookville, NY

Sources for this page

Verify at the official NPI Registry.