Olesya Ilashuk

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00924400 Issued in NJ

Practice address

870 Palisade Ave Ste 302
Teaneck, NJ 07666-3446

Phone

(201) 836-9696

NPI assigned

Jun 17, 2019

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

Enrolled in NJ

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

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clark Dermatology LLCGroup PAC ID 5395703573, 46 clinicians

Gangaram RagiGroup PAC ID 6901064757, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Gangaram Ragi

  • Dermatology Physician
  • Teaneck, NJ
  • NPI 1124138995
  Medicare reassignment Care Compare group NPD
• Clark Dermatology LLC

  • Dermatology Physician
  • Clark, NJ
  • NPI 1851562425
  Care Compare group

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1871153338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 RIVER ST",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731602",
            "telephone_number": "973-855-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 PALISADE AVE STE 302",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663446",
            "telephone_number": "201-836-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILASHUK",
        "first_name": "OLESYA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00924400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I Paltrowitz MD J Goldfarb MD Mschmidt MD PA
• Lori-Ann Iacovino
• Greg R Ieraci, LPC, NCC
• Ignatios S, Zairis, MD PA
• Ikaz Personal Care LLC
• Charles Joseph Imbimbo, LCSW
• In Community LLC
• Gokce Incekara, APN, WHNP-BC
• Satya S Indukuri, L.P.C
• Inna Danieli LCSW, LLC

• Adult Health Nurse Practitioner in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.