Organization Active NPI

Cedric K. Olivera, MD, PLLC

  • Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1982906269
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
236536 Issued in NY
Legal business name
CEDRIC K. OLIVERA, MD, PLLC
Practice address
175 Remsen St
Suite 1225
Brooklyn, NY 11201-4300
Phone
(718) 222-2600
Fax
(718) 222-4194
NPI assigned
Nov 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Dr. Cedric K Olivera, M.D.
Title
Physician/Owner
Phone
(718) 222-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 236536 NY Primary

Addresses

Primary practice location

175 Remsen St
Suite 1225
Brooklyn, NY 11201-4300

Mailing address

PO Box 26481
Brooklyn, NY 11202-6481
Phone (718) 222-2600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1982906269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26481",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112026481",
            "telephone_number": "718-222-2600",
            "fax_number": "718-222-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 REMSEN ST",
            "address_2": "SUITE 1225",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014300",
            "telephone_number": "718-222-2600",
            "fax_number": "718-222-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDRIC K. OLIVERA, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "OLIVERA",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "718-222-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "236536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.