Individual provider Active NPI

Frank Osborn, MD

  • Pediatrics Physician
  • Mendham, NJ
National Provider Identifier
1871973834
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA11751200 Issued in NJ
Practice address
1 Quimby LN
Mendham, NJ 07945-1228
Phone
(203) 247-7995
NPI assigned
Jun 4, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 295424 NY
Pediatrics Physician 208000000X 25MA11751200 NJ Primary

Addresses

Primary practice location

1 Quimby LN
Mendham, NJ 07945-1228

Mailing address

1 Quimby LN
Mendham, NJ 07945-1228
Phone (203) 247-7995

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
I20181204000438 NY Practitioner - Pediatric Medicine 8224372198 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11751200NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MMC Pediatrics Faculty Practice Pediatrics CurrentSince Oct 10, 2018 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Oct 10, 2018 Accepting new patients
Maimonides Medical Center Current Accepting new patients

Locations

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

977 48th St
Brooklyn, NY 11219
Phone (718) 283-8894

Interoperability endpoints

  • Direct secure messaging: frankosborn@mai.allscriptsdirect.net

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": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1871973834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 QUIMBY LN",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451228",
            "telephone_number": "203-247-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 QUIMBY LN",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451228",
            "telephone_number": "203-247-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "FRANK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "295424",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA11751200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendham, NJ

Sources for this page

Verify at the official NPI Registry.