Individual provider Active NPI

Olga Liberman, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Valley Stream, NY
National Provider Identifier
1518982610
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
238040 Issued in NY
Practice address
1 S Central Ave
Valley Stream, NY 11580-5443
Phone
(516) 763-7820
Fax
(516) 763-7825
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 238040 NY
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 238040 NY Primary

Addresses

Primary practice location

1 S Central Ave
Valley Stream, NY 11580-5443

Mailing address

5 E 98TH St
Box 1174
New York, NY 10029-6501
Phone (212) 241-7952

Other identifiers 1

IdentifierTypeStateIssuer
02784485MedicaidNY

Other names 1

  • Olga Glushets Former name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060814000271 NY Practitioner - Obstetrics/Gynecology 0749283794 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York Medical College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jul 1, 2024 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Jun 1, 2023 Accepting new patients
Mount Sinai School of Medicine CurrentSince Feb 1, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2012 Accepting new patients
New York University CurrentSince Jul 1, 2024 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Current Accepting new patients
Mount Sinai School of Medicine Current Accepting new patients
Mount Sinai School of Medicine CurrentSince Feb 1, 2019 Accepting new patients
MMC Center for Pelvic Floor Dysfunction FPP Specialist Past Accepting new patients
MMC OB/GYN Hospital Specialist Past Accepting new patients
South Ocean Care LLC Past Accepting new patients
Icahn School of Medicine at Mount Sinai PastSince Aug 1, 2012 Accepting new patients
Mount Sinai Diagnostic and Treatment Center Past Accepting new patients
Mount Sinai School of Medicine of New York University Past Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

13620 38th Ave
Ste 6E
Flushing, NY 11354
Phone (718) 353-7701

5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

789 Park Ave
Huntington, NY 11743
Phone (631) 386-3402

775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595

5 E 98th St
#1170
New York, NY 10029
Phone (212) 241-7575

5 E 98th St
Fl 2
New York, NY 10029
Phone (212) 241-6551

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

5 E 98th St
#1174
New York, NY 10029
Phone (212) 241-7952

70 E 90th St
New York, NY 10128
Phone (212) 426-0190

1176 5th Ave
Fl 2
New York, NY 10029

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

2 Lincoln Ave
Rockville Ctr, NY 11570
Phone (516) 390-2850

1 S Central Ave
Valley Stream, NY 11580
Phone (516) 632-3300

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: oliberman626684@nyumc.direct-ci.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1518982610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E 98TH ST",
            "address_2": "BOX 1174",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296501",
            "telephone_number": "212-241-7952",
            "fax_number": "212-241-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S CENTRAL AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805443",
            "telephone_number": "516-763-7820",
            "fax_number": "516-763-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERMAN",
        "first_name": "OLGA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "238040",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NY",
            "license": "238040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02784485",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLGA",
            "last_name": "GLUSHETS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.