Active NPI
Iman Osman, MD
- Urology Physician
- New York, NY
National Provider Identifier
1417033465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 229083-1
- Practice address
- 1430 First Ave
New York, NY 10016 - Phone
- (212) 263-9076
- Fax
- (212) 263-9090
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 229083-1 | NY | Primary |
Addresses
Primary practice location
1430 First Ave
New York, NY 10016
Mailing address
45 Intrepid PL
Port Liberte
Jersey City, NJ 07305-5485
Phone (212) 263-9076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229083-1 | NY | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1417033465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 INTREPID PL",
"address_2": "PORT LIBERTE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073055485",
"telephone_number": "212-263-9076",
"fax_number": "212-263-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 FIRST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "212-263-9076",
"fax_number": "212-263-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSMAN",
"first_name": "IMAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "229083-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.