Individual provider Active NPI

Michael J Ostolski, FNP

  • Nurse Practitioner
  • Lockport, NY
National Provider Identifier
1851355747
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F331677 Issued in NY
Practice address
702 Davison Rd
Lockport, NY 14094-5371
Phone
(716) 514-9355
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F331677 NY Primary

Addresses

Primary practice location

702 Davison Rd
Lockport, NY 14094-5371

Mailing address

702 Davison Rd
Lockport, NY 14094-5371
Phone (716) 514-9355

Other practice location 1

1415 Portland Ave Ste 225
Rochester, NY 14621-3039
Phone (585) 922-2900

Other identifiers 4

IdentifierTypeStateIssuer
051212000052OtherNYFIDELIS
9512989OtherNYINDEPENDENT HEALTH
00026927603OtherNYUNIVERA
000560289009OtherNYBCBS OF WNY

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051017000770 NY Practitioner - Nurse Practitioner 1052337318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F331677NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Medical Services of New York, PC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Rochester General Hospital Past Accepting new patients
Rasnick Adult Health Nurse Practitioner PLLC PastSince Jan 9, 2011 Accepting new patients
Keystone Hospitalist Services of New York P.C. Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1851355747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 DAVISON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945371",
            "telephone_number": "716-514-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 DAVISON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945371",
            "telephone_number": "716-514-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Portland Ave Ste 225",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213039",
            "country_code": "US",
            "telephone_number": "585-922-2900",
            "fax_number": "585-922-2117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTOLSKI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F331677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "051212000052",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9512989",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026927603",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WNY",
            "identifier": "000560289009",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

Verify at the official NPI Registry.