OLGA UDOVENKO
NPI 1477962835
General Practice in Secaucus, NJ
About Olga Udovenko NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLGA UDOVENKO (NPI 1477962835) is an individual general practice provider in Secaucus, New Jersey, licensed in Florida (OS13488) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Olga Udovenko is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Olga Udovenko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bohemia, NY 11716
- Reassigned Medicare billing, New York enrollment
- 754 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.
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.
SECAUCUS, NJ 07094
SECAUCUS, NJ 07094
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 Olga Udovenko's NPI number?
The NPI number for Olga Udovenko is 1477962835. It was assigned to this individual provider in the NPPES registry on August 10, 2014.
Where is Olga Udovenko located?
Olga Udovenko practices at 55 Meadowlands Pkwy, Secaucus, NJ 07094. The listed phone number is (201) 392-3100.
What is Olga Udovenko's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Olga Udovenko enrolled in Medicare?
Yes. Olga Udovenko is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Olga Udovenko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olga Udovenko reassigns Medicare benefits to Brookview Medical Associates, PLLC (Bohemia, 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 Olga Udovenko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Olga Udovenko accept?
Health plans from CareSource (Common Ground Healthcare) list Olga Udovenko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Olga Udovenko was last updated on January 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Olga Udovenko · NPI 1477962835
General Practice physician in Secaucus, New Jersey. Individual provider, active in the CMS NPPES registry since August 10, 2014.
## Identity
- **NPI:** 1477962835 (Entity type: Individual)
- **Enumerated:** August 10, 2014
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** OS13488 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 55 MEADOWLANDS PKWY, Secaucus, NJ 07094-2977
- **Phone:** (201) 392-3100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Brookview Medical Associates, PLLC (NPI 1871965855, Bohemia, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1477962835) · Data from the CMS NPPES public registry.