Stacey Osbourne

Primary specialty

Ambulatory Fertility FacilityTaxonomy code 261QA0006X

Practice address

24311 147TH Ave
Rosedale, NY 11422-2417

Phone

(718) 470-2940

NPI assigned

Dec 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1588136303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24311 147TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222417",
            "telephone_number": "917-459-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24311 147TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222417",
            "telephone_number": "718-470-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBOURNE",
        "first_name": "STACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Augmentative Communication",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta Adaobi Onuorah, RN
• Godwin Onyeike, D.O
• Open Minds Early Childhood Program Inc.
• Optimized Diagnostic Imaging
• Dorothy Orji
• Mona Oscar
• Nkechi Victoria Osuji, REGISTERED NURSE
• Andres Pacheco
• Olivia Palacios
• Brianna Palmer, LMSW

• Clinic/Center in Rosedale, NY
• Providers in Rosedale, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.