Active NPI
Abuzafar M Osman, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Stony Brook, NY
National Provider Identifier
1508924317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 203634
- Practice address
- 100 Patriots Rd
Stony Brook, NY 11790-3318 - Phone
- (631) 444-8608
- Fax
- (631) 444-8778
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 203634 | NY | Primary |
Addresses
Primary practice location
100 Patriots Rd
Stony Brook, NY 11790-3318
Mailing address
100 Patriots Rd
Stony Brook, NY 11790-3318
Phone (631) 444-8608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W79881 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1508924317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PATRIOTS RD",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117903318",
"telephone_number": "631-444-8608",
"fax_number": "631-444-8778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PATRIOTS RD",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117903318",
"telephone_number": "631-444-8608",
"fax_number": "631-444-8778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSMAN",
"first_name": "ABUZAFAR",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "203634",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W79881",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.