Individual provider Active NPI

Erik Ostensjo, D.O.

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1063892933
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
300402 Issued in NY
Practice address
11 E 86TH St Ste 1B
New York, NY 10028
Phone
(212) 535-3131
Fax
(212) 535-4159
NPI assigned
Jun 4, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 608878794 NY
Pediatrics Physician 208000000X 300402 NY Primary

Addresses

Primary practice location

11 E 86TH St Ste 1B
New York, NY 10028

Mailing address

11 E 86TH St Ste 1B
New York, NY 10028-0501
Phone (212) 535-3131

Other practice location 1

4802 10th Ave
Maimonides Medical Center
Brooklyn, NY 11219-2916
Phone (718) 283-7503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210208002763 NY Practitioner - Pediatric Medicine 9436493285 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
300402NYMDPediatrics Physician
608878794NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Jan 4, 2025 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Nov 6, 2020 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jan 4, 2025 Accepting new patients
North Shore Lij Medical Group at North Nassau, PC CurrentSince Oct 3, 2025 Accepting new patients
Trustees of Columbia University in the City of New York Pediatrics CurrentSince Nov 6, 2020 Accepting new patients

Locations

400 Kelby St
Ste 9
Fort Lee, NJ 07024

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

70 Glen St
Ste 200
Glen Cove, NY 11542
Phone (516) 484-7893

220 50th Ave
Long Island City, NY 11101
Phone (718) 349-2133

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

261 E 78th St
New York, NY 10075
Phone (212) 249-4501

261 E 78th St
Fl 3
New York, NY 10075
Phone (212) 535-3131

300 Community Dr
Plandome, NY 11030

9525 Queens Blvd
Rego Park, NY 11374
Phone (718) 286-1000

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ero9021@direct.nyp.org
  • Direct secure messaging: eostensjo66782@northwell.direct-ci.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1063892933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E 86TH ST STE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280501",
            "telephone_number": "212-535-3131",
            "fax_number": "212-535-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E 86TH ST STE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10028",
            "telephone_number": "212-535-3131",
            "fax_number": "212-535-4159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4802 10th Ave",
            "address_2": "Maimonides Medical Center",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112192916",
            "country_code": "US",
            "telephone_number": "718-283-7503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTENSJO",
        "first_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "608878794",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "300402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.