Active NPI
Judith Olshin, DDS
- Dentist
- Brookville, NY
National Provider Identifier
1508932237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 048836
- 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.
-
- Federally Qualified Health Center (FQHC)
- Seaford, NY
- NPI 1215596614
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
Hospital
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
- North Shore University Hospital
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260316003055 | NY | Practitioner - Dentist | 9234185927 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048836 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles Evans Center, Inc. | Current | Accepting new patients | |
| Charles Evans Center, Inc | Current | Accepting new patients |
Locations
857 S Oyster Bay Rd
Bethpage, NY 11714
Phone (516) 622-8888
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 048836 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00292112 | Other | RAILROAD 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.