Olivia Alexandra Sgambati

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

306 Imperial Way
Bayport, NY 11705-1516

Phone

(631) 617-2195

NPI assigned

Feb 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Olivia Alexandra Kelly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1760180723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 IMPERIAL WAY",
            "city": "BAYPORT",
            "state": "NY",
            "postal_code": "117051516",
            "telephone_number": "631-617-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 IMPERIAL WAY",
            "city": "BAYPORT",
            "state": "NY",
            "postal_code": "117051516",
            "telephone_number": "631-617-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SGAMBATI",
        "first_name": "OLIVIA",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "KELLY",
            "middle_name": "ALEXANDRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catherine Schneider, LCSW
• Corinne Elisabeth Scott
• Christine Elizabeth Seery
• Vanessa Sejour, LMHC
• Angela Marie Selvaggio, B.A.E.D.
• Monalynn Shein, LMSW
• Vito Silecchia
• James Smagala, PA-C
• Chethzain Smith
• Jennifer Somerville, NP

• Case Manager/Care Coordinator in Bayport, NY
• Providers in Bayport, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.