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

Olivia Haney

Individual provider Surgery Physician · NPI 1104212687

Olivia Haney is a General Surgery in Staten Island, New York. Graduated from University of Tennessee, Hsc, College of Medicine in 2015, 11 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
11
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

256 Mason Ave
Staten Island, NY 10305-3408
Phone: (718) 226-1268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10 S Main St, Memphis, TN 38103-2454 — (423) 967-9636

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 308612 (NY)

Record details

NPI number1104212687
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 10, 2015
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations11 on file with Medicare

Other providers in Staten Island