Individual provider Active NPI

Olgica Laban Grant, MD

  • Epilepsy Physician
  • White Plains, NY
National Provider Identifier
1639158462
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Epilepsy PhysicianTaxonomy code 2084E0001X
License
221832 Issued in NY
Practice address
333 Westchester Ave
Suite E104
White Plains, NY 10604-2910
Phone
(914) 428-9213
Fax
(914) 428-9282
NPI assigned
Jan 11, 2006
Last updated
May 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 240414M60 NJ
Clinical Neurophysiology Physician 2084N0600X 2218321 NY
Clinical Neurophysiology Physician 2084N0600X 25MA07767500 NJ
Clinical Neurophysiology Physician 2084N0600X 049506 CT
Epilepsy Physician 2084E0001X 221832 NY Primary

Addresses

Primary practice location

333 Westchester Ave
Suite E104
White Plains, NY 10604-2910

Mailing address

690 N Broadway
Suite GL1
White Plains, NY 10603-2417
Phone (914) 428-3651

Other identifiers 2

IdentifierTypeStateIssuer
0045675MedicaidNJ
02583333MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040617000035 NY Practitioner - EpileptologistsPractitioner - Neurology 5395729222 Reassigns benefits to 1 organization
I20041019000497 NJ Practitioner - EpileptologistsPractitioner - Neurology 5395729222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Epileptologists
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Epilepsy and Neurophysiology Medical Consulting PCGroup PAC ID 4082500624, 6 clinicians

Practice addresses (Care Compare)

20 Prospect Ave
Suite 800
Hackensack, NJ 07601-1974
Phone (201) 343-6676

333 Westchester Ave
Suite E104
White Plains, NY 10604-2930
Phone (914) 428-3651

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
240414M60NJMDNeurology Physician
049506CTMDClinical Neurophysiology Physician
2218321NYMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epilepsy & Neurophysiology Medical Consultants PA Neurology Current Accepting new patients
Epilepsy & Neurophysiology Medical Consultants, PA Neurology CurrentSince May 2, 2012 Accepting new patients
Epilepsy & Neurophysiology Medical Consulting PC Neurology CurrentSince Nov 1, 1998 Accepting new patients
Regional Neurological Associates, PC Past Accepting new patients
Jose Serruya, M.D.P.C. Epilepsy PastSince Sep 16, 2022 Accepting new patients
Connecticut Epilepsy Group PC Neurology PastSince Apr 1, 2012 Accepting new patients

Locations

20 Prospect Ave
Ste 800
Hackensack, NJ 07601
Phone (201) 343-6676

200 S Orange Ave
Ste 275
Livingston, NJ 07039
Phone (732) 235-6333

310 Madison Ave
Ste 302
Morristown, NJ 07960
Phone (973) 695-8033

2 Capital Way
Fl 2
Pennington, NJ 08534
Phone (908) 522-4990

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

21 Old Main St
Ste 101
Fishkill, NY 12524

390 Crystal Run Rd
Ste 102
Middletown, NY 10941
Phone (845) 692-8780

820 2nd Ave
Rm 6C
New York, NY 10017
Phone (212) 537-9272

737 Castleton Ave
Staten Island, NY 10310
Phone (718) 655-6595

333 Westchester Ave
Ste E104
White Plains, NY 10604
Phone (914) 428-9213

690 N Broadway
Rear GL1
White Plains, NY 10603

690 N Broadway
Ste 102
White Plains, NY 10603

6907 43rd Ave
Ste C2
Woodside, NY 11377
Phone (718) 830-3772

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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 5

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1639158462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 N BROADWAY",
            "address_2": "SUITE GL1",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106032417",
            "telephone_number": "914-428-3651",
            "fax_number": "914-428-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WESTCHESTER AVE",
            "address_2": "SUITE E104",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042910",
            "telephone_number": "914-428-9213",
            "fax_number": "914-428-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABAN GRANT",
        "first_name": "OLGICA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "240414M60",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NY",
            "license": "2218321",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NJ",
            "license": "25MA07767500",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CT",
            "license": "049506",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "NY",
            "license": "221832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0045675",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02583333",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.