Active NPIIndividual providerSole proprietor

Olga Udovenko

General Practice in Secaucus, New Jersey

NPI Number1477962835
Practice location
55 Meadowlands Pkwy, Secaucus, NJ 07094-2977
Fax
—
Last updated
January 25, 2019

Olga Udovenko is a General Practice based in Secaucus, NJ. Olga Udovenko practices in Secaucus, NJ. The NPI Number for Olga Udovenko is 1477962835 and holds a License No. OS13488 (FL). The current practice location address for Olga Udovenko is 55 Meadowlands Pkwy, Secaucus, NJ 07094-2977 and can be reached out via phone at 201-392-3100.

Provider Profile Details

NPI Number
1477962835
Provider Name
Olga Udovenko
Provider Entity Type
Individual
Gender
Female
Address
55 Meadowlands Pkwy, Secaucus, NJ 07094-2977
Phone Number
201-392-3100
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 10, 2014
Last Update Date
January 25, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Meadowlands Pkwy
Secaucus, NJ 07094-2977
Zip
07094-2977
Phone Number
201-392-3100
Secaucus, NJ 07094Get directions →

Provider Business Mailing Address Details

Address
518 Central Ave
Carlstadt, NJ 07072-1536
City
Carlstadt
State
NJ
Zip
07072-1536

License Information

License Number (2)
OS13488
License State (2)
FL
Taxonomy (2)
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Olga Udovenko?

The NPI number of Olga Udovenko is 1477962835. It was assigned on August 10, 2014 and is currently active in the NPPES registry.

What is the specialty of Olga Udovenko?

Olga Udovenko is registered under the primary taxonomy General Practice (code 208D00000X), licensed in FL under license number OS13488.

Where does Olga Udovenko practice?

The practice location is 55 Meadowlands Pkwy, Secaucus, NJ 07094-2977. The office can be reached at 201-392-3100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477962835 directly on the NPPES registry website.

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