Active NPI
Agata Katarzyna Olszowska, M.D.
- Family Medicine Physician
- Waterloo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 255097
- Practice address
- 367 E Main St Ste a
Waterloo, NY 13165-1643 - Phone
- (315) 787-4977
- Fax
- (315) 787-4973
- NPI assigned
- Jul 27, 2006
- Last updated
- Sep 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 255097 | NY | Primary |
Addresses
Primary practice location
367 E Main St Ste a
Waterloo, NY 13165-1643
Mailing address
932 Hastings Rd
Geneva, NY 14456-9135
Phone (419) 706-1497
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34170154302 | Other | OH | BUREAU OF WORKERS COMPENS |
| 080181051 | Other | RAILROAD MEDICARE | |
| 2261609 | Medicaid | OH | |
| 000000205442 | Other | OH | ANTHEM BC/BS |
Other names 1
- Dr. Agata Katarzyna Zgleszewski
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FLH Medical, PC | Current | Accepting new patients | |
| FLH Medical, PC | Family Medicine | Current | Accepting new patients |
| Geneva General Hospital, Inc. | Family Medicine | Current | Accepting new patients |
| Geneva General Hospital, Inc | Current | Accepting new patients | |
| Family Health Partners, Inc. | Family Medicine | Past | Accepting new patients |
| Innovative Hospital Care Inc | Past | Accepting new patients | |
| Fisher-Titus Medical Care LLC | Family Medicine | Past | Accepting new patients |
Locations
8000 Box
Buffalo, NY 14267
Phone (716) 213-0772
196 North St
Geneva, NY 14456
Phone (315) 787-4156
141 Central Ave
Keuka Park, NY 14478
Phone (315) 279-5000
367 E Main St
Ste A
Waterloo, NY 13165
Phone (315) 787-4977
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Penn Yan, NY
- NPI 1215174644
-
dba Geneva General Hospital Physician Practices
- Family Medicine Physician
- Geneva, NY
- NPI 1215194501
-
- Gastroenterology Physician
- Geneva, NY
- NPI 1164766325
-
dba Geneva General Hosp ER Physicians
- Emergency Medicine Physician
- Geneva, NY
- NPI 1487797080
-
- Family Medicine Physician
- Willard, OH
- NPI 1164528097
-
- Family Medicine Physician
- Norwalk, OH
- NPI 1467636399
-
- Hospitalist Physician
- Peru, IN
- NPI 1427298330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1760406177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "932 HASTINGS RD",
"city": "GENEVA",
"state": "NY",
"postal_code": "144569135",
"telephone_number": "419-706-1497",
"fax_number": "315-787-4973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 E MAIN ST STE A",
"city": "WATERLOO",
"state": "NY",
"postal_code": "131651643",
"telephone_number": "315-787-4977",
"fax_number": "315-787-4973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSZOWSKA",
"first_name": "AGATA",
"middle_name": "KATARZYNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "255097",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUREAU OF WORKERS COMPENS",
"identifier": "34170154302",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080181051",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2261609",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000205442",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AGATA",
"last_name": "ZGLESZEWSKI",
"middle_name": "KATARZYNA",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Waterloo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.