Individual provider Active NPI

Oleksandra Ostapenko, APN

  • Primary Care Nurse Practitioner
  • Lawrenceville, NJ
National Provider Identifier
1679327316
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ15000800 Issued in NJ
Practice address
3131 Princeton Pike BLDG 4a
Lawrenceville, NJ 08648-2201
Phone
(609) 803-2429
NPI assigned
Apr 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ15000800 NJ Primary

Addresses

Primary practice location

3131 Princeton Pike BLDG 4a
Lawrenceville, NJ 08648-2201

Mailing address

3131 Princeton Pike BLDG 4a
Lawrenceville, NJ 08648-2201
Phone (609) 803-2429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240731003643 NJ Practitioner - Nurse Practitioner 3274070875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Sports and Family Medicine, P.C.Group PAC ID 4587710793, 16 clinicians

Practice addresses (Care Compare)

3131 Princeton Pike
BLDG 4a
Lawrenceville, NJ 08648-2201
Phone (609) 896-9190

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Sports and Family Medicine, P.C. CurrentSince May 20, 2024 Accepting new patients

Locations

3131 Princeton Pike
Bldg 4A
Lawrenceville, NJ 08648
Phone (609) 896-9190

3131 Princeton Pike
Bldg 4
Lawrenceville, NJ 08648
Phone (609) 896-4128

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHEFBA

Organizations & group practices 1

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": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1679327316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 PRINCETON PIKE BLDG 4A",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482201",
            "telephone_number": "609-803-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 PRINCETON PIKE BLDG 4A",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482201",
            "telephone_number": "609-803-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTAPENKO",
        "first_name": "OLEKSANDRA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ15000800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.