Active NPI
Cedric Keir Olivera, MD, MS
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- 236536
- Practice address
- 90 Maiden LN
FL 3
New York, NY 10038-4831 - Phone
- (646) 290-9560
- Fax
- (212) 532-4362
- NPI assigned
- May 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 236536-1 | NY | |
| Gynecology Physician | 207VG0400X | MA66558 | NJ | |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | 236536 | NY | Primary |
Addresses
Primary practice location
90 Maiden LN
FL 3
New York, NY 10038-4831
Mailing address
PO Box 26481
Brooklyn, NY 11202-6481
Phone (732) 740-4495
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8425
1605 Voorhies Ave
Suite 1
Brooklyn, NY 11235-3982
Phone (347) 492-6722
200 Livingston St
Brooklyn, NY 11201-5811
Phone (718) 522-3399
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356
Hospital & facility affiliations
- South Brooklyn Health
- Brooklyn Hospital Center - Downtown Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236536-1 | NY | MD | Registered Nurse |
| 236536 | NY | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NYU Langone Hospitals | Current | Accepting new patients | |
| NYU Langone Hospitals | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| NYU Langone Hospitals | Current | Accepting new patients | |
| Coney Island Medical Practice Plan, P.C. | Current | Accepting new patients | |
| Amboy Medical Practice PC | Current | Accepting new patients | |
| TBHC Physician Services PC | Current | Accepting new patients | |
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Century Medical & Dental Center Inc | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Suny Health Science Center at Brooklyn | Gynecology | Past | Accepting new patients |
| Neighborhood Health Services Corporation | Past | Accepting new patients | |
| Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC | Gynecology | Past | Accepting new patients |
| TBHC Medical Services PC | Past | Accepting new patients | |
| Suny Downstate Medical Center | Past | Accepting new patients |
Locations
260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
150 55th St
Rm 3618
Brooklyn, NY 11220
Phone (718) 630-7477
150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
200 Livingston St
Brooklyn, NY 11201
Phone (718) 522-3399
523 Fulton St
Ste 2
Brooklyn, NY 11201
Phone (718) 250-8425
3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177
8714 5th Ave
Brooklyn, NY 11209
Phone (718) 630-8600
97 Amity St
Brooklyn, NY 11201
Phone (718) 780-1025
301 E 17th St
New York, NY 10003
Phone (212) 460-0125
4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015
355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380
111 Broadway
Fl 2
Trinity, NY 10006
Phone (212) 263-9700
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- colivera574188@nychhc.direct-ci.com
Organizations & group practices 17
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.
-
- Health Service Clinic/Center
- Brooklyn, NY
- NPI 1144399098
-
- Surgery Physician
- Brooklyn, NY
- NPI 1417183963
-
- Gynecology Physician
- Brooklyn, NY
- NPI 1093292864
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1700037975
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
- Internal Medicine Physician
- New York, NY
- NPI 1790975944
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1104692672
-
- Psychiatric Hospital Unit
- Patchogue, NY
- NPI 1508687021
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1831549559
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1124032982
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1326046467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511222400000",
"number": "1568638997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26481",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112026481",
"telephone_number": "732-740-4495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 MAIDEN LN",
"address_2": "FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100384831",
"telephone_number": "646-290-9560",
"fax_number": "212-532-4362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVERA",
"first_name": "CEDRIC",
"middle_name": "KEIR",
"name_prefix": "Dr.",
"credential": "MD, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-06",
"last_updated": "2017-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "236536-1",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NJ",
"license": "MA66558",
"primary": false
},
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "NY",
"license": "236536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.