Active NPI
Michael P Osborne, M.D.
- Surgery Physician
- New York, NY
National Provider Identifier
1700982212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 145757
- Practice address
- 10 Union SQ E
Suite 4E
New York, NY 10003-3314 - Phone
- (212) 844-8959
- NPI assigned
- Sep 15, 2006
- Last updated
- Nov 30, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 145757 | NY | Primary |
Addresses
Primary practice location
10 Union SQ E
Suite 4E
New York, NY 10003-3314
Mailing address
PO Box 95000-2441
Philadelphia, PA 19195-2441
Phone (212) 844-8959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02197015 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145757 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Department of Surgery
- Surgery Physician
- New York, NY
- NPI 1669579017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354233600000",
"number": "1700982212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000-2441",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191952441",
"telephone_number": "212-844-8959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 UNION SQ E",
"address_2": "SUITE 4E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033314",
"telephone_number": "212-844-8959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "MICHAEL",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2012-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "145757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02197015",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.