Individual provider Active NPI

Angel Osorio

  • Driver
  • Landisville, NJ
National Provider Identifier
1891674073
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
O80520437305872 Issued in NJ
Practice address
308 Buena Vista Ave
Landisville, NJ 08326-1436
Phone
(856) 301-1643
Fax
(856) 301-1643
NPI assigned
Sep 1, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X O80520437305872 NJ Primary

Addresses

Primary practice location

308 Buena Vista Ave
Landisville, NJ 08326-1436

Mailing address

308 Buena Vista Ave
Landisville, NJ 08326-1436
Phone (856) 301-1643

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
O80520437305872NJMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1891674073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 BUENA VISTA AVE",
            "city": "LANDISVILLE",
            "state": "NJ",
            "postal_code": "083261436",
            "telephone_number": "856-301-1643",
            "fax_number": "856-301-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 BUENA VISTA AVE",
            "city": "LANDISVILLE",
            "state": "NJ",
            "postal_code": "083261436",
            "telephone_number": "856-301-1643",
            "fax_number": "856-301-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSORIO",
        "first_name": "ANGEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-01",
        "certification_date": "2025-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NJ",
            "license": "O80520437305872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Landisville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.