Ilona Osadze, FNP-C, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP028448 Issued in PA

Practice address

2900 Cottman Ave
Philadelphia, PA 19149-1437

Phone

(215) 660-9330

Fax

(215) 660-9336

NPI assigned

Oct 18, 2023

Last updated

Jul 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Vitality NP Group LLC

  • Nurse Practitioner
  • Horsham, PA
  • NPI 1003453051

  Single Specialty

  Medicare reassignment NPD
• Urgent Care at Northeast Philadelphia LLC

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1992410187

  Single Specialty

  NPD

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1164204608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 HENRY AVE",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190472600",
            "telephone_number": "347-893-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491437",
            "telephone_number": "215-660-9330",
            "fax_number": "215-660-9336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "882 Henry Ave",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190472600",
            "country_code": "US",
            "telephone_number": "347-893-2207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSADZE",
        "first_name": "ILONA",
        "credential": "FNP-C, CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP028448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Osayomore Orumwense, PMHNP
• Henrietta Izehiese Orumwense, B.PHARM
• Isabella Marie Orup
• Soraya Atieno Oruya, MD
• Karen Emily Orzechowski, MD
• Martins Osayi, BS
• Nancy Itohan Osazuwa, DO
• Caitlin Michele Osborn, MD
• Patricia Osborne Randolph
• Bailey Osborne

• Family Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.