Individual provider Active NPI

Ebere Osu

  • Early Intervention Provider Agency
  • Queens, NY
National Provider Identifier
1013584929
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Practice address
112- 66 Dillon Street
Jamaica
Queens, NY 11433
Phone
(717) 926-7270
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

112- 66 Dillon Street
Jamaica
Queens, NY 11433

Mailing address

11266 Dillon St
Jamaica, NY 11433-3825
Phone (718) 926-7270

Other practice location 1

11266 Dillon St
Jamaica, NY 11433-3825
Phone (718) 926-7270

Other practice location 2

112-66 dillon street
Jamaica, NY 11433-1143
Phone (718) 926-7270

Other practice location 3

11266 Dillon St
Jamaica, NY 11433-3825
Phone (718) 926-7270

Other practice location 4

112-66 dillon street
Jamaica, NY 11433-1143
Phone (718) 926-7270

Other practice location 5

11266 Dillon St
Jamaica, NY 11433-3825
Phone (718) 926-7270

Other practice location 6

11266 dillon street
Jamaica, NY 11433-1143
Phone (718) 926-7270

Other practice location 7

112-66 dillon street
Jamaica, NY 11433-1143
Phone (718) 926-7270

Other practice location 8

11266 Dillon St
Jamaica, NY 11433-3825
Phone (718) 926-7270

Other names 1

  • Ebere Osu Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ebereosu@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1013584929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11266 DILLON ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114333825",
            "telephone_number": "718-926-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112- 66 DILLON STREET",
            "address_2": "JAMAICA",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11433",
            "telephone_number": "717-926-7270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11266 Dillon St",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114333825",
            "country_code": "US",
            "telephone_number": "718-926-7270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112-66 dillon street",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114331143",
            "country_code": "US",
            "telephone_number": "718-926-7270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11266 Dillon St",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114333825",
            "country_code": "US",
            "telephone_number": "718-926-7270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112-66 dillon street",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114331143",
            "country_code": "US",
            "telephone_number": "718-926-7270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11266 Dillon St",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114333825",
            "country_code": "US",
            "telephone_number": "718-926-7270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11266 dillon street",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114331143",
            "country_code": "US",
            "telephone_number": "718-926-7270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112-66 dillon street",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114331143",
            "country_code": "US",
            "telephone_number": "718-926-7270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11266 Dillon St",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114333825",
            "country_code": "US",
            "telephone_number": "718-926-7270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSU",
        "first_name": "EBERE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ebereosu@gmail.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11266 Dillon St",
            "city": "Jamaica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114333825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EBERE",
            "last_name": "OSU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Queens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.