Active NPI
Olean Radiology, PC
- Diagnostic Radiology Physician
- Olean, NY
National Provider Identifier
1700829850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- OLEAN RADIOLOGY, PC
- Practice address
- 515 Main St
Olean General Hospital
Olean, NY 14760-1513 - Phone
- (315) 782-2620
- Fax
- (315) 788-4980
- NPI assigned
- Jun 14, 2006
- Last updated
- Jun 1, 2020
- 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
- Glauco Maresca, MD
- Title
- President/Ceo
- Phone
- (315) 265-4924
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
515 Main St
Olean General Hospital
Olean, NY 14760-1513
Mailing address
251 Najoles Rd Ste a
Millersville, MD 21108-2519
Phone (443) 274-2888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02244984 | Medicaid | NY | |
| 0019538120001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA, MA, FL, OH, AZ, CO, VA, OK
Enrollment records 9
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 90
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Potsdam, NY
- NPI 1053370742
-
- Diagnostic Radiology Physician
- Olean, NY
- NPI 1366585713
-
- Therapeutic Radiology Physician
- Cortland, NY
- NPI 1043279748
-
- Diagnostic Radiology Physician
- Potsdam, NY
- NPI 1710305115
-
- Diagnostic Radiology Physician
- Massena, NY
- NPI 1043279730
-
- Diagnostic Radiology Physician
- Cooperstown, NY
- NPI 1437415056
-
- Vascular & Interventional Radiology Physician
- Warsaw, NY
- NPI 1144420241
Diagnostic Radiology, VA
-
- Diagnostic Radiology Physician
- Worcester, MA
- NPI 1457662520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590969600000",
"number": "1700829850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 NAJOLES RD STE A",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211082519",
"telephone_number": "443-274-2888",
"fax_number": "443-274-2391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 MAIN ST",
"address_2": "OLEAN GENERAL HOSPITAL",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601513",
"telephone_number": "315-782-2620",
"fax_number": "315-788-4980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLEAN RADIOLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-14",
"last_updated": "2020-06-01",
"certification_date": "2020-06-01",
"status": "A",
"authorized_official_last_name": "MARESCA",
"authorized_official_first_name": "GLAUCO",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "315-265-4924",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02244984",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019538120001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olean, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.