OLIVIA HANEY
NPI 1104212687
Surgery in Staten Island, NY
About Olivia Haney NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLIVIA HANEY (NPI 1104212687) is an individual surgery provider in Staten Island, New York, licensed in New York (308612) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and maintains a secondary practice location in Memphis.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Olivia Haney is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Olivia Haney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Staten Island University Hospital
Acute Care Hospitals · Staten Island, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Olivia Haney's NPI number?
The NPI number for Olivia Haney is 1104212687. It was assigned to this individual provider in the NPPES registry on April 10, 2015. The provider is also known as Olivia Morin.
Where is Olivia Haney located?
Olivia Haney practices at 256 Mason Ave, Staten Island, NY 10305. The listed phone number is (718) 226-1268.
What is Olivia Haney's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Olivia Haney enrolled in Medicare?
Yes. Olivia Haney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Olivia Haney's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olivia Haney reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Olivia Haney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Olivia Haney affiliated with any hospitals?
According to CMS data, Olivia Haney is affiliated with Staten Island University Hospital.
When was this NPI record last updated?
The NPPES record for Olivia Haney was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Olivia Haney · NPI 1104212687
Surgery physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since April 10, 2015.
## Identity
- **NPI:** 1104212687 (Entity type: Individual)
- **Enumerated:** April 10, 2015
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 308612 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 256 MASON AVE, Staten Island, NY 10305-3408
- **Phone:** (718) 226-1268
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine, class of 2015
## Record status
- **NPPES last updated:** June 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1104212687) · Data from the CMS NPPES public registry.