Individual provider Active NPI

Joseph M Ossorio, MD

  • Psychiatry Physician
  • Pembroke Pines, FL
National Provider Identifier
1184859365
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME48178 Issued in FL
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150527001348 TN Practitioner - Psychiatry 0840276754 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0048178FLMDLegal Medicine
ME48178FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Tennessee Current Accepting new patients
State of Tennessee-Western Mental Health Institute CurrentSince Jan 26, 2018 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.

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

Verify at the official NPI Registry.