Active NPI
John C Olivera, CRNA
- Certified Registered Nurse Anesthetist
- East Rockaway, NY
National Provider Identifier
1932237484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 348072
- Practice address
- 84 Grant Ave
East Rockaway, NY 11518-1335 - Phone
- (516) 330-3979
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 348072-1 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 348072 | NY | Primary |
Addresses
Primary practice location
84 Grant Ave
East Rockaway, NY 11518-1335
Mailing address
84 Grant Ave
East Rockaway, NY 11518-1335
Phone (516) 330-3979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 348072-1 | NY | MD | Anesthesiology Physician |
| 348072 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Anesthesia Physicians LLP | Anesthesiology | Current | Accepting new patients |
| New York University | Current | Accepting new patients | |
| New York University | Anesthesiology | Current | Accepting new patients |
| New York University | Current | Accepting new patients | |
| St John'S Medical Services PC | Past | Accepting new patients | |
| North American Partners in Anesthesia LLP | Anesthesiology | Past | Accepting new patients |
Locations
170 William St
New York, NY 10038
Phone (212) 238-0100
530 1st Ave
New York, NY 10016
Phone (212) 263-7216
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
Interoperability endpoints
- https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
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- NPI 1952392961
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Internal Medicine Physician
- Far Rockaway, NY
- NPI 1023042173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1932237484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 GRANT AVE",
"city": "EAST ROCKAWAY",
"state": "NY",
"postal_code": "115181335",
"telephone_number": "516-330-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 GRANT AVE",
"city": "EAST ROCKAWAY",
"state": "NY",
"postal_code": "115181335",
"telephone_number": "516-330-3979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVERA",
"first_name": "JOHN",
"middle_name": "C",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "348072-1",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "348072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.