NPIMap

Individual provider Active NPI

Nathaniel Osborn, D.O.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Daytona Beach, FL
National Provider Identifier
1528412236
Registry record updated Dec 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
OS17563 Issued in FL
Practice address
305 Memorial Medical Pkwy Ste 206
Daytona Beach, FL 32117-5169
Phone
(863) 231-4450
Fax
(863) 231-4456
NPI assigned
Apr 19, 2016
Last updated
Dec 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 25MB12787200 NJ
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X OS17563 FL Primary
Orthopaedic Surgery Physician 207X00000X 81438 MN

Addresses

Primary practice location

305 Memorial Medical Pkwy Ste 206
Daytona Beach, FL 32117-5169

Mailing address

115 Eileen Way
Syosset, NY 11791-5323
Phone (516) 795-3033

Other practice location 1

1206 W Sherman Ave Bldg 1
Vineland, NJ 08360-6911
Phone (856) 595-9130

Other practice location 2

200 Rowan Blvd
Glassboro, NJ 08028-2260
Phone (856) 595-9130

Other practice location 3

400 E 3rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Other identifiers 1

IdentifierTypeStateIssuer
1528412236MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Miami Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, MN, NJ4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20221010001496 FL Practitioner - Orthopedic Surgery 2668711029
I20221208001900 NY Practitioner - Orthopedic Surgery 2668711029 Reassigns benefits to 1 organization
I20260102001695 MN Practitioner - Orthopedic Surgery 2668711029 Reassigns benefits to 2 organizations
I20260205003939 NJ Practitioner - Orthopedic Surgery 2668711029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

Practice addresses (Care Compare)

200 Rowan Blvd
Glassboro, NJ 08028-2260
Phone (856) 582-0500

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81438MNMDOrthopaedic Surgery Physician
OS17563FLMDAdult Reconstructive Orthopaedic Surgery Physician
25MB12787200NJMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics Spine and Sports Medicine LLC CurrentSince Nov 14, 2022 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Jan 2, 2026 Accepting new patients
Orthopaedics Spine and Sports Medicine LLC Orthopaedic Surgery CurrentSince Nov 14, 2022 Accepting new patients
The Duluth Clinic LTD CurrentSince Jan 2, 2026 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Jan 12, 2026 Accepting new patients

Locations

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

200 Rowan Blvd
Glassboro, NJ 08028
Phone (856) 582-0500

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

1206 W Sherman Ave
Bldg 1
Vineland, NJ 08360
Phone (856) 462-6250

1206 W Sherman Ave
Bldg 2A
Vineland, NJ 08360
Phone (856) 692-6000

5500 Merrick Rd
Massapequa, NY 11758
Phone (516) 798-3789

115 Eileen Way
Syosset, NY 11791
Phone (516) 622-9797

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: nosborn608586@direct.uvmhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766275200000",
    "number": "1528412236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EILEEN WAY",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915323",
            "telephone_number": "516-795-3033",
            "fax_number": "516-590-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY STE 206",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175169",
            "telephone_number": "863-231-4450",
            "fax_number": "863-231-4456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 W Sherman Ave Bldg 1",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083606911",
            "country_code": "US",
            "telephone_number": "856-595-9130",
            "fax_number": "856-221-4296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Rowan Blvd",
            "address_purpose": "LOCATION",
            "city": "Glassboro",
            "state": "NJ",
            "postal_code": "080282260",
            "country_code": "US",
            "telephone_number": "856-595-9130",
            "fax_number": "856-221-4296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051951",
            "country_code": "US",
            "telephone_number": "218-786-8364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "NATHANIEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2025-12-21",
        "certification_date": "2025-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MB12787200",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "FL",
            "license": "OS17563",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "81438",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528412236",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "endpointDescription": "University of Miami",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1611 NW 12th Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331361005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.