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Active NPI 1477962835 Individual Practitioner Female Practitioner

Olga Udovenko

General Practice • Secaucus, NJ

Professional Overview & Biography Verified Profile Summary

Olga Udovenko is a registered healthcare professional specializing in General Practice in Secaucus, NJ. Practice services are available at 55 MEADOWLANDS PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Meadowlands Pkwy

Secaucus, NJ 070942977

Telephone 2013923100
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Secaucus, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Secaucus, NJ (269 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL OS13488

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Kevin Goodman

Student in an Organized Health Care Education/Training Program

NPI 1033056122
Amy Murray , RDN

Dietitian, Registered

NPI 1124577366

Registered Dietitian Nutritionist

Stuart Shiff

Registered Nurse

NPI 1144891771
Rucha Desai , PA-C

Physician Assistant

NPI 1215503263

Physician Assistant (Certified)

Kelly Morabito , RNFA

Registered Nurse - Registered Nurse First Assistant

NPI 1215520606
Miguel Rey De Leon

Behavior Technician

NPI 1245921162

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2019

General Practice (License #OS13488 in FL)

NPI Profile Active August 10, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2014

Registered at 55 MEADOWLANDS PKWY, SECAUCUS, NJ 070942977 (Tel: 2013923100)

📍
Updated Business Mailing Address August 10, 2014

Registered at 518 CENTRAL AVE, CARLSTADT, NJ 070721536

👤
Provider Name / Credentials Updated August 10, 2014

Recorded as OLGA UDOVENKO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 10, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477962835
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2014
Last Update: January 25, 2019
Sole Proprietor: Yes

Mailing Address

518 Central Ave

Carlstadt, NJ 070721536

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.