Provider Demographics
NPI:1902994502
Name:BYALIK, OLGA (MD)
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:
Last Name:BYALIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:84 COMMONWEALTH DR
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-3094
Mailing Address - Country:US
Mailing Address - Phone:917-327-8372
Mailing Address - Fax:
Practice Address - Street 1:90 ROUTE 22
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-3110
Practice Address - Country:US
Practice Address - Phone:734-672-2739
Practice Address - Fax:973-467-5385
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07515100207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0297016OtherGHI
P2491211OtherOXFORD
2K7792OtherHEALTHNET
2K7792OtherHEALTHNET
H47124Medicare UPIN