Individual provider Active NPI

Olga Chervinchik, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Levittown, PA
National Provider Identifier
1720624968
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00999500 Issued in NJ
Practice address
78 Eventide LN
Levittown, PA 19054-2709
Phone
(640) 243-4546
Fax
(640) 900-4616
NPI assigned
Nov 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP021827 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00999500 NJ Primary

Addresses

Primary practice location

78 Eventide LN
Levittown, PA 19054-2709

Mailing address

78 Eventide LN
Levittown, PA 19054-2709
Phone (640) 243-4546

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
I20200207001774 NJ Practitioner - Nurse Practitioner 3173959228 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Multispecialty Group CurrentSince Mar 16, 2020 Accepting new patients
Live Urgent Care LLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

363 W Browning Rd
Unit A
Bellmawr, NJ 08031
Phone (856) 333-3616

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

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

800 Denow Rd
Pennington, NJ 08534
Phone (609) 737-8130

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

Interoperability endpoints

  • Direct secure messaging: olga.chervinchik@593314999828484.direct.elationemr.com

Organizations & group practices 2

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": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1720624968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 EVENTIDE LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190542709",
            "telephone_number": "640-243-4546",
            "fax_number": "640-900-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 EVENTIDE LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190542709",
            "telephone_number": "640-243-4546",
            "fax_number": "640-900-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERVINCHIK",
        "first_name": "OLGA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021827",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00999500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

Verify at the official NPI Registry.