Organization Active NPI

Phyllis Olshansky Inc

  • Clinic/Center
  • New Rochelle, NY
National Provider Identifier
1932435468
Registry record updated Oct 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4079
Legal business name
PHYLLIS OLSHANSKY INC
Practice address
60 Lakeview Rd
New Rochelle, NY 10804-2506
Phone
(914) 636-8051
Fax
(914) 636-6957
NPI assigned
Oct 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2009

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

Authorized official

Name
Dr. Phyllis Macklin Olshansky, PHD
Title
President
Phone
(914) 636-8051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4079 Primary

Addresses

Primary practice location

60 Lakeview Rd
New Rochelle, NY 10804-2506

Mailing address

60 Lakeview Rd
New Rochelle, NY 10804-2506
Phone (914) 636-8051

Other identifiers 1

IdentifierTypeStateIssuer
01653227MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255737600000",
    "number": "1932435468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LAKEVIEW RD",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042506",
            "telephone_number": "914-636-8051",
            "fax_number": "914-636-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 LAKEVIEW RD",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042506",
            "telephone_number": "914-636-8051",
            "fax_number": "914-636-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS OLSHANSKY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-17",
        "last_updated": "2009-10-17",
        "status": "A",
        "authorized_official_last_name": "OLSHANSKY",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "MACKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-636-8051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": "4079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01653227",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.