Individual provider Active NPI

Yardaena Batya Osband, M.D.

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1710184833
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
244517 Issued in NY
Practice address
4350 Van Cortlandt Park E
Bronx, NY 10470-1875
Phone
(718) 231-6565
Fax
(718) 231-8477
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 244517 NY Primary

Addresses

Primary practice location

4350 Van Cortlandt Park E
Bronx, NY 10470-1875

Mailing address

4350 Van Cortlandt Park E
Bronx, NY 10470-1875
Phone (718) 231-6565

Other identifiers 1

IdentifierTypeStateIssuer
02900118MedicaidNY

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
I20071017000558 NY Practitioner - Pediatric Medicine 6800982240 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Vernon Neighborhood Health Center Inc CurrentSince Jun 20, 2018 Accepting new patients
Mount Vernon Neighborhood Health Center, Inc. CurrentSince Jun 20, 2018 Accepting new patients
Boston Children'S Health Physicians, LLP Pediatrics Past Accepting new patients

Locations

107 W 4th St
Mount Vernon, NY 10550
Phone (914) 699-0235

295 Knollwood Rd
White Plains, NY 10607
Phone (914) 699-7200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71482

Organizations & group practices 3

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1710184833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 VAN CORTLANDT PARK E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701875",
            "telephone_number": "718-231-6565",
            "fax_number": "718-231-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 VAN CORTLANDT PARK E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701875",
            "telephone_number": "718-231-6565",
            "fax_number": "718-231-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBAND",
        "first_name": "YARDAENA",
        "middle_name": "BATYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "244517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02900118",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.