Active NPI
Dallis Olson
- Family Nurse Practitioner
- Rockville Centre, NY
National Provider Identifier
1871340042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F353511
- Practice address
- 55 Maple Ave
Rockville Centre, NY 11570-4274 - Phone
- (516) 536-2221
- NPI assigned
- May 4, 2024
- Last updated
- Aug 19, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F353511 | NY | Primary |
Addresses
Primary practice location
55 Maple Ave
Rockville Centre, NY 11570-4274
Mailing address
47 Ohio Ave
Long Beach, NY 11561-1113
Phone (516) 398-5716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F353511 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicholas R Halper MD PC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Halper Family Medicine
- Family Medicine Physician
- Rockville Centre, NY
- NPI 1689691594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1871340042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 OHIO AVE",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115611113",
"telephone_number": "516-398-5716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MAPLE AVE",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115704274",
"telephone_number": "516-536-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "DALLIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-04",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F353511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville Centre, NY
- Obstetrical&Gynecological Services of Rockville Centre, PC
- Barbara Bonnie Ann Oconnor, ATR-BC,LCAT
- Carolyn Oh, MD
- Susan Oldis
- Martha Oliverio Wright, PT
- Oluchi Gloria Onebunne NP in Psychiatry PLLC
- Om Craft LLC. (Revolution Yoga)
- On Course Psychological Counseling P.C.
- Stephen Thomas Onesti, M.D.
- Ophthalmic Consultants of Long Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.