Active NPI
Elizabeth A. Olek, D.O.
- Infectious Disease Physician
- New Haven, CT
National Provider Identifier
1902034564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 79170
- Practice address
- 300 George St
New Haven, CT 06511-6624 - Phone
- (203) 752-5484
- Fax
- (203) 624-7003
- NPI assigned
- Jun 22, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 79170 | MA | |
| Internal Medicine Physician | 207R00000X | 37165 | VA | |
| Infectious Disease Physician | 207RI0200X | 79170 | MA | Primary |
| Infectious Disease Physician | 207RI0200X | 37165 | VA |
Addresses
Primary practice location
300 George St
New Haven, CT 06511-6624
Mailing address
235 W End Ave
3H
New York, NY 10023-3631
Phone (267) 408-8927
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79170 | MA | MD | Infectious Disease Physician |
| 37165 | VA | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245628800000",
"number": "1902034564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 W END AVE",
"address_2": "3H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100233631",
"telephone_number": "267-408-8927",
"fax_number": "203-624-7003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 GEORGE ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065116624",
"telephone_number": "203-752-5484",
"fax_number": "203-624-7003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLEK",
"first_name": "ELIZABETH",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-22",
"last_updated": "2009-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "79170",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "37165",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MA",
"license": "79170",
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "VA",
"license": "37165",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.