NPIMap

Organization Active NPI

Olshanetskiy and Goutos Medicine, PC

  • Sleep Medicine (Internal Medicine) Physician
  • Brooklyn, NY
National Provider Identifier
1871788802
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
OLSHANETSKIY AND GOUTOS MEDICINE, PC
Practice address
326 7TH St
Brooklyn, NY 11215-3311
Phone
(877) 275-3370
Fax
(631) 231-3331
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Oleg Olshanetskiy, D.O.NPI 1861580201
Title
Owner
Phone
(718) 244-1644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X Primary

Addresses

Primary practice location

326 7TH St
Brooklyn, NY 11215-3311

Mailing address

PO Box 14008
Hauppauge, NY 11788-0774
Phone (631) 231-0300

National Provider Directory

National Provider Directory

Locations

326 7th St
Slp Med
Brooklyn, NY 11215
Phone (877) 275-3370

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1871788802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14008",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117880774",
            "telephone_number": "631-231-0300",
            "fax_number": "631-231-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 7TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153311",
            "telephone_number": "877-275-3370",
            "fax_number": "631-231-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSHANETSKIY AND GOUTOS MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "OLSHANETSKIY",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-244-1644",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.