Active NPI
Olga Kiriluk, FNP
- Family Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F347889-01
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR20600600 | NJ | MD | Registered Nurse |
| 742389 | NY | MD | Psychiatric/Mental Health Registered Nurse |
| 26NJ01259900 | NJ | MD | Family Nurse Practitioner |
| F347889-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Director Services PC | Current | Accepting new patients | |
| Vitalpoint Healthpc | Current | Accepting new patients | |
| Patient First Medical Practice PC | Current | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Princess Anne, MD
- NPI 1871955807
NJ, NY
-
- Geriatric Medicine (Internal Medicine) Physician
- Brooklyn, NY
- NPI 1255067955
-
- Internal Medicine Physician
- Hammonton, NJ
- NPI 1205719820
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; 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.