Active NPI
Fanio Vidal Osorio, L.P.N.
- Licensed Practical Nurse
- Cohoes, NY
National Provider Identifier
1346430576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 265483-1
- Practice address
- 163 Manor Ave
Cohoes, NY 12047-1514 - Phone
- (518) 326-6027
- NPI assigned
- Jul 25, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 265483-1 | NY | Primary |
Addresses
Primary practice location
163 Manor Ave
Cohoes, NY 12047-1514
Mailing address
163 Manor Ave
Cohoes, NY 12047-1514
Phone (518) 326-6027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02190063 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 265483-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185321600000",
"number": "1346430576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 MANOR AVE",
"city": "COHOES",
"state": "NY",
"postal_code": "120471514",
"telephone_number": "518-326-6027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 MANOR AVE",
"city": "COHOES",
"state": "NY",
"postal_code": "120471514",
"telephone_number": "518-326-6027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSORIO",
"first_name": "FANIO",
"middle_name": "VIDAL",
"credential": "L.P.N.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-25",
"last_updated": "2007-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "265483-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02190063",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cohoes, NY
- Nmeregiri Nwogu, MSED, MSW
- Nys Dept of Civil Service (Employee Health Service)
- Diane Catherine O'Keefe, PTA
- Michael Robert O'Neill, PH.D
- Daniel Orsini
- Our Loving Hands LLC (Our Loving Hands Home care and Companions)
- Angelique Ahena Papadopoulos, RN
- Kelly Anne Parker, CASAC-T
- Thomas Michael Patregnani, DDS
- Kathy L Paul, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.