Active NPI
Joseph M Ossorio, MD
- Psychiatry Physician
- Pembroke Pines, FL
National Provider Identifier
1184859365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME48178
- Practice address
- 2464 N. University Dr
Pembroke Pines, FL 33024 - Phone
- (305) 267-7480
- Fax
- (305) 267-7422
- NPI assigned
- May 18, 2009
- Last updated
- Jul 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | ME0048178 | FL | |
| Psychiatry Physician | 2084P0800X | ME48178 | FL | Primary |
Addresses
Primary practice location
2464 N. University Dr
Pembroke Pines, FL 33024
Mailing address
P.O. Box 562966
Miami, FL 33156
Phone (954) 885-9874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0048178 | FL | MD | Legal Medicine |
| ME48178 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Tennessee | Current | Accepting new patients | |
| State of Tennessee-Western Mental Health Institute | Current | Accepting new patients | |
| Hollywood Pain Management Centers, LLC | Legal Medicine | Past | Accepting new patients |
| N. Miami Pain Management Center, LLC | Legal Medicine | Past | Accepting new patients |
| Coral Palm Medical Center | Past | Accepting new patients | |
| Sheridan Medical Centre | Legal Medicine | Past | Accepting new patients |
Locations
11100 Highway 64
Bolivar, TN 38008
Phone (731) 228-0772
Organizations & group practices 7
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.
-
dba Marion County Health Department
- Public Health or Welfare Agency
- Jasper, TN
- NPI 1487791315
-
- Psychiatric Hospital
- Bolivar, TN
- NPI 1538114020
-
- Legal Medicine
- Pembroke Pines, FL
- NPI 1053439109
-
- Legal Medicine
- Miami, FL
- NPI 1588782338
-
- Legal Medicine
- Pembroke Pines, FL
- NPI 1871731471
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1538185947
-
- Legal Medicine
- Miami, FL
- NPI 1396994257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309478400000",
"number": "1184859365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 562966",
"city": "MIAMI",
"state": "FL",
"postal_code": "33156",
"telephone_number": "954-885-9874",
"fax_number": "954-885-9876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2464 N. UNIVERSITY DR",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33024",
"telephone_number": "305-267-7480",
"fax_number": "305-267-7422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSSORIO",
"first_name": "JOSEPH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-18",
"last_updated": "2011-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "FL",
"license": "ME0048178",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME48178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.