Individual provider Active NPI

Heather L Osborne, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1427189885
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
239078-1 Issued in NY
Practice address
155 Canal St
New York, NY 10013-4511
Phone
(212) 431-9010
Fax
(646) 898-0659
NPI assigned
Mar 8, 2007
Last updated
Sep 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 239078-1 NY Primary

Addresses

Primary practice location

155 Canal St
New York, NY 10013-4511

Mailing address

59 Thompson St Apt 10
New York, NY 10012-4360
Phone (917) 771-1765

Other identifiers 1

IdentifierTypeStateIssuer
2863761MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070628000361 NY Practitioner - Diagnostic Radiology 0042319287 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Morehouse School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CP Advanced Imaging PLLCGroup PAC ID 4385663582, 10 clinicians
Sunset Park Radiology PCGroup PAC ID 6608247291, 32 clinicians

Practice addresses (Care Compare)

155 Canal St
New York, NY 10013-4551
Phone (212) 431-9010

5521 8TH Ave
FL 6
Brooklyn, NY 11220-3515
Phone (718) 928-2588

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
239078-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Park Radiology PC Diagnostic Radiology CurrentSince Feb 20, 2024 Accepting new patients
CP Advanced Imaging PLLC Diagnostic Radiology CurrentSince Jul 1, 2007 Accepting new patients
New York University Medical Center Faculty Practice Radiology Diagnostic Radiology Past Accepting new patients

Locations

5521 8th Ave
Fl 6
Brooklyn, NY 11220
Phone (718) 928-2588

155 Canal St
New York, NY 10013
Phone (212) 219-9135

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1427189885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 THOMPSON ST APT 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124360",
            "telephone_number": "917-771-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CANAL ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134511",
            "telephone_number": "212-431-9010",
            "fax_number": "646-898-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "HEATHER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "239078-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2863761",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.