Individual provider Active NPI

Olga Kiriluk, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1609415645
Registry record updated Jan 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F347889-01 Issued in NY
Practice address
1060 Amsterdam Ave
New York, NY 10025-1715
Phone
(646) 672-6893
NPI assigned
Dec 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR20600600 NJ
Psychiatric/Mental Health Registered Nurse 163WP0808X 742389 NY
Family Nurse Practitioner 363LF0000X 26NJ01259900 NJ
Family Nurse Practitioner 363LF0000X F347889-01 NY Primary

Addresses

Primary practice location

1060 Amsterdam Ave
New York, NY 10025-1715

Mailing address

2130 1St Ave Apt 2201
New York, NY 10029-3328
Phone (929) 600-1917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20211221002374 NY Practitioner - Nurse Practitioner 1759772072 Reassigns benefits to 2 organizations
I20240423000556 NJ Practitioner - Nurse Practitioner 1759772072 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Director Services PCGroup PAC ID 0042501116, 79 clinicians

Practice addresses (Care Compare)

1060 Amsterdam Ave
New York, NY 10025-1715
Phone (212) 316-7700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR20600600NJMDRegistered Nurse
742389NYMDPsychiatric/Mental Health Registered Nurse
26NJ01259900NJMDFamily Nurse Practitioner
F347889-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Director Services PC CurrentSince Dec 27, 2021 Accepting new patients
Vitalpoint Healthpc CurrentSince Aug 9, 2025 Accepting new patients
Patient First Medical Practice PC CurrentSince May 31, 2023 Accepting new patients

Locations

43 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-3100

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

1060 Amsterdam Ave
New York, NY 10025
Phone (212) 316-7700

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": "1576886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643500800000",
    "number": "1609415645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 1ST AVE APT 2201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293328",
            "telephone_number": "929-600-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251715",
            "telephone_number": "646-672-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRILUK",
        "first_name": "OLGA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-21",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR20600600",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "742389",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01259900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347889-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.