Olga Goldenberg, FNP
Nurse Practitioner, Family in Bayside, NY. Individual provider (NPI-1).
NPI number1003469552
StatusActive
Last updated in NPPESJun 5, 2022
Details
- NPI
- 1003469552
- Entity type
- Individual (NPI-1)
- Name
- Olga Goldenberg
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2019
- Certification date
- Jun 5, 2022
- Last updated
- Jun 5, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 344857 | NY | Yes |
Practice location
2901 216th StBayside, NY 11360-2810
Phone 718-281-8800
Mailing address
2901 216th StBayside, NY 11360-2810
Phone 718-281-8800
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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