Individual provider Active NPI

Ekatherina Osman, DO

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1629335344
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
291332 Issued in NY
Practice address
926 Bedford Ave
Brooklyn, NY 11205-3913
Phone
(718) 875-6900
NPI assigned
Apr 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 291332 NY
Psychiatry Physician 2084P0800X 291332 NY Primary

Addresses

Primary practice location

926 Bedford Ave
Brooklyn, NY 11205-3913

Mailing address

127 Saint Felix St Apt 3
Brooklyn, NY 11217-3491
Phone (917) 742-9857

Other practice location 1

127 Saint Felix St Apt 3
Brooklyn, NY 11217-3491
Phone (917) 742-9857

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220309000414 NY Practitioner - Psychiatry 3072907054 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

926 Bedford Ave
Brooklyn, NY 11205-3913
Phone (718) 875-6900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pesach Tikvah Hope Development Inc CurrentSince Jan 7, 2024 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Dec 3, 2021 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Pesach Tikvah Hope Development Inc CurrentSince Oct 12, 2024 Accepting new patients
Maimonides Department of Psychiatry FPP Psychiatry CurrentSince Dec 3, 2021 Accepting new patients
MMC OB-GYN Faculty Practice Plan Past Accepting new patients
Anesthesiology Associates of Boro Park, LLP Past Accepting new patients

Locations

926 Bedford Ave
Brooklyn, NY 11205
Phone (718) 865-6900

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

5309 18th Ave
Brooklyn, NY 11204
Phone (718) 705-5190

4802 10th Ave
#C
Brooklyn, NY 11219
Phone (718) 283-8163

4508 16th Ave
Brooklyn, NY 11204
Phone (718) 972-8018

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: ekatherinaosman@mai.allscriptsdirect.net
  • Direct secure messaging: eosman680479@nychhc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1629335344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 SAINT FELIX ST APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173491",
            "telephone_number": "917-742-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053913",
            "telephone_number": "718-875-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Saint Felix St Apt 3",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112173491",
            "country_code": "US",
            "telephone_number": "917-742-9857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSMAN",
        "first_name": "EKATHERINA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "291332",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "291332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.