Individual provider Active NPI

Mary Margaret Osick

  • Physician Assistant
  • Endwell, NY
National Provider Identifier
1538698196
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2726 Yale St
Endwell, NY 13760-3255
Phone
(607) 341-2104
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2726 Yale St
Endwell, NY 13760-3255

Mailing address

2726 Yale St
Endwell, NY 13760-3255

Other names 1

  • Mary Armstrong Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171121001255 NY Practitioner - Physician Assistant 4082971361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Our Lady of Lourdes Memorial Hospital IncGroup PAC ID 1254237779, 249 clinicians

Practice addresses (Care Compare)

169 Riveride Dr
Binghamton, NY 13905-4246

240 Riverside Dr
Johnson City, NY 13790-2732
Phone (607) 798-9356

Hospital & facility affiliations

  • Our Lady of Lourdes Memorial Hospital, Inc Hospital, Binghamton, NY, CCN 330011
  • United Health Services Hospitals, Inc Hospital, Binghamton, NY, CCN 330394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince May 29, 2018 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. Physician Assistant CurrentSince May 29, 2018 Accepting new patients
Twin Tier Pathology Associates, PC Current Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. Past Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

65 Pennsylvania Ave
Binghamton, NY 13903
Phone (607) 723-5393

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

501 Reynolds Rd
Johnson City, NY 13790
Phone (607) 797-6071

240 Riverside Dr
Johnson City, NY 13790
Phone (607) 754-3863

Interoperability endpoints

  • Direct secure messaging: mosick196782@direct-guthrie.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1538698196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 YALE ST",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137603255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2726 YALE ST",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137603255",
            "telephone_number": "607-341-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSICK",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ARMSTRONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Endwell, NY

Sources for this page

Verify at the official NPI Registry.