Organization Active NPI

Ola Pediatrics

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1780841924
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
OLA PEDIATRICS
Practice address
3032 Corlear Ave
Bronx, NY 10463-5141
Phone
(718) 548-4040
Fax
(718) 548-3939
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Dr. Ana Olivero, MDNPI 1467412684
Title
President
Phone
(718) 548-4040

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3032 Corlear Ave
Bronx, NY 10463-5141

Mailing address

3032 Corlear Ave
Bronx, NY 10463-5141
Phone (718) 548-4040

Other identifiers 1

IdentifierTypeStateIssuer
01990770MedicaidNY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2214554Ola Pediatrics PC3032 Corlear Avenue, Bronx, NY 10463Certificate of waiverFeb 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Ola Pediatrics PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3032 Corlear Ave
Bronx, NY 10463
Phone (718) 548-4040

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1780841924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 CORLEAR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635141",
            "telephone_number": "718-548-4040",
            "fax_number": "718-548-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 CORLEAR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635141",
            "telephone_number": "718-548-4040",
            "fax_number": "718-548-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "OLIVERO",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-548-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01990770",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.