Active NPI
Michael J Ostolski, FNP
- Nurse Practitioner
- Lockport, NY
National Provider Identifier
1851355747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F331677
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051212000052 | Other | NY | FIDELIS |
| 9512989 | Other | NY | INDEPENDENT HEALTH |
| 00026927603 | Other | NY | UNIVERA |
| 000560289009 | Other | NY | BCBS 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051017000770 | NY | Practitioner - Nurse Practitioner | 1052337318 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F331677 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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.
-
- Emergency Medicine Physician
- Olean, NY
- NPI 1174068761
-
- Emergency Medicine Physician
- Springville, NY
- NPI 1952331761
-
dba Encompass Pain Management
- Adult Health Nurse Practitioner
- Lockport, NY
- NPI 1144607433
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.