Nataliya Osmanova, MD

Key facts

NPI

1669550901

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatry Physician 2084P0800X

License

25MA07564100 (NJ)

Practice address

671 Hoes LN
Piscataway, NJ 08854-5627

Phone

(800) 969-5300

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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.

• Short Hills Assoc. in Clinical Psychology Family Psychologist · Springfield, NJ · NPI 1003172164
  NPD (past)
• Summit Psychiatric & Counseling Associates Psychiatry Physician · Springfield, NJ · NPI 1386772499
  NPD (past) PSYCHIATRY

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Opted out of Medicare

Yes, effective Jan 10, 2023 through Jan 10, 2027

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669550901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 HOES LN",
            "address_2": "P. O. BOX 1392",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545627",
            "telephone_number": "732-235-5940",
            "fax_number": "732-235-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 HOES LN",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545627",
            "telephone_number": "800-969-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMANOVA",
        "first_name": "NATALIYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07564100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Piscataway, NJ · Psychiatry Physician in New Jersey