Individual provider Active NPI

Olga Martin, PA

  • Physician Assistant
  • Albany, NY
National Provider Identifier
1548787666
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
43 New Scotland Ave
Albany, NY 12208
Phone
(518) 262-3125
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

43 New Scotland Ave
Albany, NY 12208

Mailing address

209 Lauren Tice Rd
Saugerties, NY 12477-4156
Phone (845) 389-6696

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
I20171222000212 NY Practitioner - Physician Assistant 6507124450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Albany Medical College of Union University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3277

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
021103NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Physician Assistant Current Accepting new patients
Albany Medical College CurrentSince Oct 28, 2017 Accepting new patients
Albany Medical College Physician Assistant CurrentSince Oct 28, 2017 Accepting new patients
Albany Medical College Physician Assistant Current Accepting new patients
Albany Medical College Physician Assistant Current Accepting new patients

Locations

7 Southwoods Blvd
Albany, NY 12211
Phone (518) 292-6060

50 New Scotland Ave
#192
Albany, NY 12208
Phone (518) 262-4000

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

50 New Scotland Ave
Fl 5
Albany, NY 12208

43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5149

50 New Scotland Ave
Fl 3
Albany, NY 12208
Phone (518) 262-5864

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

Organizations & group practices 6

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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1548787666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 LAUREN TICE RD",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124774156",
            "telephone_number": "845-389-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12208",
            "telephone_number": "518-262-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "OLGA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.