Individual provider Active NPI

Vlady Ostrow, D.O.

  • Pediatric Endocrinology Physician
  • Shrewsbury, NJ
National Provider Identifier
1245407337
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
25MB08710100 Issued in NJ
Practice address
180 Avenue at the CMN
Suite 7B
Shrewsbury, NJ 07702-4569
Phone
(732) 935-7143
Fax
(732) 935-7245
NPI assigned
May 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X OS014024 PA
Pediatric Endocrinology Physician 2080P0205X 25MB08710100 NJ Primary

Addresses

Primary practice location

180 Avenue at the CMN
Suite 7B
Shrewsbury, NJ 07702-4569

Mailing address

PO Box 8000
Dept 596
Buffalo, NY 14267-0002
Phone (866) 295-0041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20101027001414 NJ Practitioner - Pediatric Medicine 7113111733 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08710100NJMDPediatric Endocrinology Physician
OS014024PAMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Resource and Referral Center, Inc. CurrentSince Oct 21, 2011 Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Oct 21, 2011 Accepting new patients
Lakewood Resource and Referral Center Inc Current Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Aug 1, 2010 Accepting new patients

Locations

1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144

180 Avenue At the Cmn
Ste 7B
Shrewsbury, NJ 07702
Phone (732) 542-0892

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Organizations & group practices 4

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": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1245407337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8000",
            "address_2": "DEPT 596",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142670002",
            "telephone_number": "866-295-0041",
            "fax_number": "708-342-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 AVENUE AT THE CMN",
            "address_2": "SUITE 7B",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024569",
            "telephone_number": "732-935-7143",
            "fax_number": "732-935-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTROW",
        "first_name": "VLADY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "PA",
            "license": "OS014024",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NJ",
            "license": "25MB08710100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.