Individual provider Active NPI

Rolande Olivier, FNP

  • Family Nurse Practitioner
  • Central Islip, NY
National Provider Identifier
1992032791
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343285 Issued in NY
Practice address
3 Olive St
Central Islip, NY 11722-4017
Phone
(516) 427-2477
Fax
(631) 630-0667
NPI assigned
Nov 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 343285 NY Primary

Addresses

Primary practice location

3 Olive St
Central Islip, NY 11722-4017

Mailing address

3 Olive St
Central Islip, NY 11722-4017
Phone (516) 427-2477

Other identifiers 1

IdentifierTypeStateIssuer
1992032791MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220409000041 NY Practitioner - Nurse Practitioner 3870989346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Smithtown Family Health NP PCGroup PAC ID 9335579499, 4 clinicians

Practice addresses (Care Compare)

140 N Belle Mead Rd
Suite a
East Setauket, NY 11733
Phone (631) 780-6128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
343285NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sayville Medical and Rehab PC CurrentSince Jan 28, 2022 Accepting new patients
Westhampton Medical & Rehabilitation PC CurrentSince Apr 24, 2023 Accepting new patients
Setauket Medical & Rehabilitation PC CurrentSince Jan 28, 2022 Accepting new patients
Smithtown Family Health NP PC Family CurrentSince Jan 4, 2022 Accepting new patients

Locations

160 Middle Rd
Ste 1
Sayville, NY 11782
Phone (631) 239-8262

300 E Main St
Ste 2
Smithtown, NY 11787
Phone (631) 780-6128

10 Old Riverhead Rd
Unit A
Westhampton Beach, NY 11978
Phone (631) 369-4292

Organizations & group practices 4

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": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1992032791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 OLIVE ST",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224017",
            "telephone_number": "516-427-2477",
            "fax_number": "631-630-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 OLIVE ST",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224017",
            "telephone_number": "516-427-2477",
            "fax_number": "631-630-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVIER",
        "first_name": "ROLANDE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992032791",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Islip, NY

Sources for this page

Verify at the official NPI Registry.