Nena Olugu, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

30-307874 Issued in NY

Practice address

101 Nicolls Rd
HSC Level 12, RM 080, Department of Neurosurgery
Stony Brook, NY 11794-2566

Phone

(631) 383-7828

Fax

(631) 968-1022

NPI assigned

Aug 3, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

State University of New York at Stony Brook, School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Medical PCGroup PAC ID 0143610600, 93 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• My Medical PC

  • Family Medicine Physician
  • Valley Cottage, NY
  • NPI 1518637891
  Medicare reassignment Care Compare group
• Matrix Medical of New York PC

  • Nurse Practitioner
  • New York, NY
  • NPI 1639433063
  Medicare reassignment NPD
• Fresh Meadows Physician Practice PLLC

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1720775083
  Medicare reassignment

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831642172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NICOLLS RD",
            "address_2": "HSC LEVEL 12, RM 080, DEPARTMENT OF NEUROSURGERY",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117942566",
            "telephone_number": "631-383-7828",
            "fax_number": "631-968-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NICOLLS RD",
            "address_2": "HSC LEVEL 12, RM 080, DEPARTMENT OF NEUROSURGERY",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117942566",
            "telephone_number": "631-383-7828",
            "fax_number": "631-968-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUGU",
        "first_name": "NENA",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2022-07-21",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "30-307874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Oliva, OTR
• Brian Patrick Oliver, MD
• Rosemarie Olivieri-Fitt, MD
• Grace Boluwape Olowo, MD
• Tina M Olson, FNP
• Cameron Marie Onorato
• Anthonia Onyemem
• Ebrahim Rashid Oomerjee, M.D.
• Sybil Ann Oommen
• Valsan Oommen, RPA-C

• Nurse Practitioner in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• 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.