Oleg Olshanetskiy, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

215014-2 Issued in NY

Practice address

Airport Medical Offices at JFK
23059 Rockaway Blvd Suite 225
Jamaica, NY 11413

Phone

(718) 244-1644

Fax

(718) 244-1622

NPI assigned

Oct 11, 2006

Sex

Male

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Excel Urgent Care of Astoria PLLC

  • Urgent Care Clinic/Center
  • Howard Beach, NY
  • NPI 1235434036
  Medicare reassignment NPD
• Midtown New York Doctors Urgent Care PLLC

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1013278274
  Medicare reassignment NPD
• Airport Medical Offices at JFK

  • Family Medicine Physician
  • Jamaica, NY
  • NPI 1871684860
  NPD (past) Authorized official
• Olshanetskiy and Goutos Medicine, PC

  • Sleep Medicine (Internal Medicine) Physician
  • Brooklyn, NY
  • NPI 1871788802
  NPD (past) Authorized official
• Throgs Neck Urgent Medical Care PLLC

  • Urgent Care Clinic/Center
  • Yonkers, NY
  • NPI 1154684207
  NPD
• CMC Occupational Health Services, PC

  • Specialist
  • Jamaica, NY
  • NPI 1649473471
  NPD (past)
• Exclusive Family Medical Care PC

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1013085166
  NPD (past)
• Prime Fitness Physical Therapy PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1346421104
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861580201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LA GUARDIA AIRPORT",
            "address_2": "CENTRAL TERMINAL BUILDING, ROOM 3771, 3RD FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11371",
            "telephone_number": "718-424-8663",
            "fax_number": "718-424-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AIRPORT MEDICAL OFFICES AT JFK",
            "address_2": "23059 ROCKAWAY BLVD SUITE 225",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11413",
            "telephone_number": "718-244-1644",
            "fax_number": "718-244-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSHANETSKIY",
        "first_name": "OLEG",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "215014-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berenice Oliveira Krohmer, MSW
• Vania Oliveira
• Susan J Olmstead, O.T.R./L
• Olubukola Ayinke Olopade, DNP
• Olusegun Olowolabi
• Funmilayo Olabimpe Olufunmilayo, MD
• Ejike Malachy Oluka, M.D
• Olympus Healthcare Center
• Janet Omodewu
• Omolara Senior Care

• Family Medicine Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.