Active NPI
Olga Kheyson MD PC
- Obstetrics & Gynecology Physician
- Staten Island, NY
National Provider Identifier
1629540778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- OLGA KHEYSON MD PC
- Practice address
- 3371 Richmond Ave Ste 1
Staten Island, NY 10312-2025 - Phone
- (917) 916-2457
- NPI assigned
- Dec 28, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olga Kheyson, MD
- Title
- MD / PC Owner
- Phone
- (917) 916-2457
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
3371 Richmond Ave Ste 1
Staten Island, NY 10312-2025
Mailing address
9 Mallow St Lowr Left
Staten Island, NY 10309-1731
Phone (929) 203-9494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2169108 | Olga Kheyson MD PC | Provider-performed microscopy | Jul 15, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Staten Island, NY
- NPI 1871971051
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1538590161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1629540778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MALLOW ST LOWR LEFT",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103091731",
"telephone_number": "929-203-9494",
"fax_number": "347-983-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3371 RICHMOND AVE STE 1",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103122025",
"telephone_number": "917-916-2457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLGA KHEYSON MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-28",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "KHEYSON",
"authorized_official_first_name": "OLGA",
"authorized_official_title_or_position": "MD / PC OWNER",
"authorized_official_telephone_number": "917-916-2457",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.