CARL A OLSSON (NPI# 1508961814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508961814 |
| Entity Type | Individual |
| Full Name | CARL A OLSSON |
| Credential | M.D. |
| Practice Address |
3111 New Hyde Park Rd First Floor New Hyde Park NY 11042-1209 |
| Mailing Address |
532 Broadhollow Rd Suite 142 Melville NY 11747-3672 |
| Practice Telephone | 5163949610 |
| Practice Fax Number | 5168693015 |
| Mailing Telephone | 5169310041 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2012-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 142952 | NY | Other Service Providers |
| Y | 208800000X | Urology | 142952 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OXFORD CU EMPLOYEE | NS1282 | 01 |
| Street Address |
3111 NEW HYDE PARK RD FIRST FLOOR |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144200395 | Dariush Radparvar | Radiology | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1209 | 2006-01-21 |
| 1073918009 | Integrated Medical Professionals Pllc | Non-Pharmacy Dispensing Site | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1209 | 2014-11-04 |
| 1457799777 | Tarnima Yasmin Ahamed | Obstetrics & Gynecology | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1209 | 2013-06-09 |
| 1336435809 | Tiffany Christine Hunter | Obstetrics & Gynecology | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1209 | 2011-06-23 |
| 1801128996 | Metropolitan Urological Specialist | Specialist | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1217 | 2010-02-01 |
| 1679702740 | Aesthetic and Surgical Dermatology of New York, P.C. | Dermatology | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1217 | 2009-07-09 |
| 1841424009 | Dorene Marinese | Specialist | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1209 | 2009-05-03 |
| 1114108073 | David Cooper Md PC | Specialist | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1217 | 2007-11-20 |
| 1871713156 | Carole Hazan | Dermatology | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1217 | 2007-04-27 |
| 1093816605 | Elizabeth Femenia | Physician Assistant | 3111 New Hyde Park Rd, New Hyde Park, NY 11040 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427294099 | Aaron Justin Krill | Urology | 1999 Marcus Ave Ste M18, Department of Pediatric Urology, New Hyde Park, NY 11042-1023 | 2009-01-01 |
| 1427128552 | Arthur Smith | Urology | Lijmc - Dept of Urology, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-08 |
| 1962441113 | Elliot M Paul | Urology | 2001 Marcus Ave Ste N214, New Hyde Park, NY 11042-1087 | 2006-06-05 |
| 1669959763 | David Mikhail | Urology | 450 Lakeville Rd Ste M41, New Hyde Park, NY 11042-1117 | 2018-07-23 |
| 1952795882 | Jason Rothwax | Urology | 2001 Marcus Ave Ste N214, New Hyde Park, NY 11042-1087 | 2015-03-28 |
| 1851660849 | Soroush Rais-bahrami | Urology | 450 Lakeville Rd, New Hyde Park, NY 11042-1118 | 2011-12-20 |
| 1457641581 | Christopher Jonathan Hartman | Urology | 450 Lakeville Rd, Suite M41, New Hyde Park, NY 11042-1118 | 2011-04-11 |
| 1669639738 | Michael J Schwartz | Urology | 450 Lakeville Rd, Arthur Smith Institute for Urology, New Hyde Park, NY 11042-1117 | 2008-05-16 |
| 1720254576 | Justin Shinyu Han | Urology | 450 Lakeville Rd, Suite M41, New Hyde Park, NY 11042-1118 | 2008-05-01 |
| 1346415916 | Jessica Erin Kreshover | Urology | 450 Lakeville Rd, Suite M41, New Hyde Park, NY 11042-1118 | 2008-04-24 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.