Olga S Pankiv

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F308322 Issued in NY

Practice address

545 5TH Avenue Suite 817
545 5TH Avenue Suite 817
New York, NY 10017

Phone

(718) 913-6861

NPI assigned

Mar 13, 2018

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1831692136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 E 28TH ST #700 EUREKA BODY CARE AND SPA",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-858-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 5TH AVENUE SUITE 817",
            "address_2": "545 5TH AVENUE SUITE 817",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "718-913-6861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 E 28th St #700 Eureka Body Care and Spa",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10016",
            "country_code": "US",
            "telephone_number": "212-858-0706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "545 5th Ave Ste 5455th",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100173609",
            "country_code": "US",
            "telephone_number": "718-913-6861",
            "fax_number": "719-913-6168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANKIV",
        "first_name": "OLGA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F308322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Panizo, AGNP-C
• Liliana C Panizza, NURSE PRACTITIONER
• Samira Panjaki, PT, DPT, MST
• Firozali Panjvani
• Wendy J. Panken, LCSW
• Alexis Pankow, M.D.
• Carmen Denise Pannell, MD
• Richard Wingate Pannell, DPM
• Michelle Lee Pannella, MPT
• Nicholas Pannitto, CNP

• Adult Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.