OLIVIA ANN FERTMANN
NPI 1265939904
Specialist in Medford, NY

Active since April 10, 2018
1 SCOUTING BLVD, MEDFORD, NY 11763(631) 297-3202 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Olivia Ann Fertmann NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVIA ANN FERTMANN (NPI 1265939904) is an individual specialist in Medford, New York, licensed in New York (1119585181) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1265939904
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameOLIVIA ANN FERTMANN
Location Address1 SCOUTING BLVDMedford, NY 11763-2220
Mailing Address1 Scouting BlvdMedford, NY 11763-2220
Sole ProprietorYes
Enumeration DateApril 10, 2018
NPI 1265939904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 1119585181
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1 SCOUTING BLVD, Medford, NY 11763

Other Identifiers 1

Other119585181NY · Certification

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Behavior Analyst
1 SCOUTING BLVD
MEDFORD, NY 11763
Specialist
1 SCOUTING BLVD
MEDFORD, NY 11763
Specialist
1 SCOUTING BLVD
MEDFORD, NY 11763
Specialist
1 SCOUTING BLVD
MEDFORD, NY 11763
Specialist/Technologist, Other
1 SCOUTING BLVD
MEDFORD, NY 11763
Early Intervention Provider Agency
1 SCOUTING BLVD
MEDFORD, NY 11763
Specialist
1 SCOUTING BLVD
MEDFORD, NY 11763
Early Intervention Provider Agency
1 SCOUTING BLVD
MEDFORD, NY 11763

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 Fertmann's NPI number?

The NPI number for Olivia Fertmann is 1265939904. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Olivia Fertmann located?

Olivia Fertmann practices at 1 Scouting Blvd, Medford, NY 11763. The listed phone number is (631) 297-3202.

What is Olivia Fertmann's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Olivia Fertmann was last updated on April 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.