Individual provider Active NPI

John C Olivera, CRNA

  • Certified Registered Nurse Anesthetist
  • East Rockaway, NY
National Provider Identifier
1932237484
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
348072 Issued in NY
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

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
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

LicenseStateTypeSpecialty
348072-1NYMDAnesthesiology Physician
348072NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Anesthesia Physicians LLP Anesthesiology CurrentSince Mar 4, 2020 Accepting new patients
New York University CurrentSince Feb 6, 2024 Accepting new patients
New York University Anesthesiology Current Accepting new patients
New York University CurrentSince Feb 6, 2024 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.