Individual provider Active NPI

Betsy A Ostrow, MD

  • Pediatrics Physician
  • Exton, PA
National Provider Identifier
1528038148
Registry record updated Oct 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD024715E Issued in PA
Practice address
491 John Young Way
Suite 201 Main Line Health Center
Exton, PA 19341-2567
Phone
(484) 565-8507
Fax
(610) 280-1531
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD024715E PA Primary

Addresses

Primary practice location

491 John Young Way
Suite 201 Main Line Health Center
Exton, PA 19341-2567

Mailing address

491 John Young Way
Suite 201 Main Line Health Center
Exton, PA 19341-2567
Phone (484) 565-8507

Other identifiers 2

IdentifierTypeStateIssuer
000875506MedicaidPA
232359401OtherPAMAIN LINE HEALTHCARE

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

State licenses

LicenseStateTypeSpecialty
MD024715EPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare Past Accepting new patients

Organizations & group practices 1

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317513600000",
    "number": "1528038148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 JOHN YOUNG WAY",
            "address_2": "SUITE 201 MAIN LINE HEALTH CENTER",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412567",
            "telephone_number": "484-565-8507",
            "fax_number": "610-280-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 JOHN YOUNG WAY",
            "address_2": "SUITE 201 MAIN LINE HEALTH CENTER",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412567",
            "telephone_number": "484-565-8507",
            "fax_number": "610-280-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTROW",
        "first_name": "BETSY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2011-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD024715E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000875506",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAIN LINE HEALTHCARE",
            "identifier": "232359401",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.