Individual provider Active NPI

Olivia B Bockoff, PA-C

  • Physician Assistant
  • New Brunswick, NJ
National Provider Identifier
1588828115
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00199300 Issued in NJ
Practice address
1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
Phone
(310) 927-7476
NPI assigned
Jul 13, 2008
Last updated
Apr 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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 25MP00199300 NJ Primary

Addresses

Primary practice location

1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928

Mailing address

58 Cookman Ave Apt B
Ocean Grove, NJ 07756-1106
Phone (310) 927-7476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, PA, OK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170106001289 CA Practitioner - Physician Assistant 2062548159 Reassigns benefits to 1 organization
I20171127001187 PA Practitioner - Physician Assistant 2062548159 Reassigns benefits to 3 organizations
I20260316003231 OK Practitioner - Physician Assistant 2062548159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Physicians of Tulsa County LLCGroup PAC ID 8628140225, 17 clinicians
Big Bear Urgent Care IncGroup PAC ID 8729460233, 4 clinicians

Practice addresses (Care Compare)

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-3131

41949 Big Bear Blvd
Big Bear Lake, CA 92315
Phone (909) 878-3696

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23147CAMDPharmacist
5823OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of Tulsa County, LLC CurrentSince Feb 11, 2026 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 11, 2017 Accepting new patients
Upmc Altoona CurrentSince Mar 1, 2019 Accepting new patients
Upmc Bedford Memorial CurrentSince Jun 3, 2019 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 11, 2017 Accepting new patients
Upmc Altoona CurrentSince Mar 1, 2019 Accepting new patients
Upmc Bedford Memorial CurrentSince Jun 3, 2019 Accepting new patients
Lactation Consultants of America Past Accepting new patients

Locations

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

Interoperability endpoints

  • Direct secure messaging: olivia.bockoff.p2@direct.hvvmg.nextgenshare.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1588828115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 COOKMAN AVE APT B",
            "city": "OCEAN GROVE",
            "state": "NJ",
            "postal_code": "077561106",
            "telephone_number": "310-927-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROBERT WOOD JOHNSON PL",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011928",
            "telephone_number": "310-927-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKOFF",
        "first_name": "OLIVIA",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-13",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00199300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.