Active NPI
Olivia Paige Omage, PA-C
- Physician Assistant
- Roslyn, NY
National Provider Identifier
1700499779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 025481
- Practice address
- 100 Port Washington Blvd
Roslyn, NY 11576-1353 - Phone
- (516) 562-6000
- NPI assigned
- Aug 28, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 025481 | NY | Primary |
Addresses
Primary practice location
100 Port Washington Blvd
Roslyn, NY 11576-1353
Mailing address
126 Manchester St
Westbury, NY 11590-1817
Phone (516) 770-1772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201107000033 | NY | Practitioner - Physician Assistant | 1153731898 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Samaritan Medical Services PC
Practice addresses (Care Compare)
100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone (516) 325-7520
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (516) 705-2689
Hospital & facility affiliations
- St Francis Hospital - the Heart Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025481 | NY | MD | Occupational Therapist |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
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.
Hospital & facility affiliations 1
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": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1700499779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 MANCHESTER ST",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115901817",
"telephone_number": "516-770-1772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PORT WASHINGTON BLVD",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115761353",
"telephone_number": "516-562-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMAGE",
"first_name": "OLIVIA",
"middle_name": "PAIGE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-28",
"last_updated": "2020-08-28",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "025481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn, NY
- Karen Louise O'Brien, ANP
- Cassandra Marie O'Connor, MD
- Somtoochukwu Ojukwu, PHARMD
- Old Brookville Physical Therapy & Sports Rehabilitation, P.C.
- Katherine Olofson, RPA-C
- Optimized Independence OT PLLC
- Edward Hamza Oruci, M.D.
- Jillian Marie Oswald, ANP
- Jennifer J Padrone, PSY.D.
- Pain Therapy Specialists PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.