Individual provider Active NPI

Olga Palitava, NP

  • Family Nurse Practitioner
  • Ronkonkoma, NY
National Provider Identifier
1528897261
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F354918 Issued in NY
Practice address
3505 Veterans Memorial Hwy Ste C
Ronkonkoma, NY 11779-7613
Phone
(631) 676-7656
Fax
(631) 676-7648
NPI assigned
Jul 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F354918 NY Primary

Addresses

Primary practice location

3505 Veterans Memorial Hwy Ste C
Ronkonkoma, NY 11779-7613

Mailing address

3505 Veterans Memorial Hwy Ste C
Ronkonkoma, NY 11779-7613
Phone (631) 676-7656

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240830003291 NY Practitioner - Nurse Practitioner 1658810890 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F354918NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Home Medical Services PLLC CurrentSince Dec 1, 2025 Accepting new patients
Nsuh Plainview Physicians Ufp Corporation CurrentSince Jan 12, 2026 Accepting new patients
Preferred Professional Medical Care PC CurrentSince Jun 14, 2024 Accepting new patients

Locations

123 Maple Ave
Cedarhurst, NY 11516
Phone (516) 295-1300

11241 Queens Blvd
Forest Hills, NY 11375
Phone (347) 321-7911

3333 New Hyde Park Rd
Ste 100
New Hyde Park, NY 11042
Phone (516) 439-5300

210 E 64th St
New York, NY 10065
Phone (212) 434-4312

3505 Veterans Memorial Hwy
Ste C
Ronkonkoma, NY 11779
Phone (631) 676-7556

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1528897261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 VETERANS MEMORIAL HWY STE C",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797613",
            "telephone_number": "631-676-7656",
            "fax_number": "631-676-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 VETERANS MEMORIAL HWY STE C",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797613",
            "telephone_number": "631-676-7656",
            "fax_number": "631-676-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALITAVA",
        "first_name": "OLGA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F354918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

Verify at the official NPI Registry.