Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivan Y Olesh

Individual provider Physician Assistant · NPI 1215565668

Ivan Y Olesh is a Physician Assistant in Camillus, New York. Qualified in 2020, 6 years ago. Practices with St Josephs Medical PC, a 385-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3399 Warners Rd
Camillus, NY 13031-9649
Phone: (315) 460-5872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 30 Harrison St, Ste 250, Johnson City, NY 13790 — (607) 763-6580
  • 4417 Vestal Pkwy E, Vestal, NY 13850 — (607) 763-6580

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X · Licence 025978 (NY)

Record details

NPI number1215565668
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2020
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address3399 Warners Rd, Camillus, NY 13031-9649

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St Josephs Medical Pc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Camillus