Organization Active NPI

Ola Pediatrics PC

  • Primary Care Clinic/Center
  • Bronx, NY
National Provider Identifier
1982861936
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
211010 Issued in NY
Legal business name
OLA PEDIATRICS PC
Practice address
645 Allerton Ave
Bronx, NY 10467-7403
Phone
(718) 547-7771
Fax
(718) 547-8091
NPI assigned
May 19, 2008
Organization subpart
Yes
Parent organization
OLA PEDIATRICS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Authorized official

Name
Dr. Ana Olivero, MD
Title
President
Phone
(718) 547-7771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 211010 NY Primary

Addresses

Primary practice location

645 Allerton Ave
Bronx, NY 10467-7403

Mailing address

3032 Corlear Ave
First Floor
Bronx, NY 10463
Phone (718) 548-4040

Other identifiers 2

IdentifierTypeStateIssuer
01990770MedicaidNY
146412684OtherNYNPI

National Provider Directory

National Provider Directory
Tax ID family
Ola Pediatrics PC2 organizations share this tax ID, including this one
Part of
Ola Pediatrics PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

645 Allerton Ave
Bronx, NY 10467
Phone (718) 547-7771

3032 Corlear Ave
Fl First
Bronx, NY 10463

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1982861936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 CORLEAR AVE",
            "address_2": "FIRST FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "718-548-4040",
            "fax_number": "718-548-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677403",
            "telephone_number": "718-547-7771",
            "fax_number": "718-547-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLA PEDIATRICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLA PEDIATRICS PC",
        "enumeration_date": "2008-05-19",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "OLIVERO",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-547-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "211010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01990770",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "146412684",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.