Active NPI
Marina Osmolovsky
- Radiologic Technologist
- Forest Hills, NY
National Provider Identifier
1922388735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 40826
- Practice address
- 11129 Queens Blvd
Forest Hills, NY 11375-5553 - Phone
- (718) 275-8900
- NPI assigned
- Aug 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | 40826 | NY | |
| Radiologic Technologist | 247100000X | 40826 | NY | Primary |
Addresses
Primary practice location
11129 Queens Blvd
Forest Hills, NY 11375-5553
Mailing address
111-29 Queens Blvd
Forest Hills, NY 11375
Phone (718) 275-8900
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40826 | NY | MD | Other Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1922388735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111-29 QUEENS BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "11375",
"telephone_number": "718-275-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11129 QUEENS BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113755553",
"telephone_number": "718-275-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSMOLOVSKY",
"first_name": "MARINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-24",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "NY",
"license": "40826",
"primary": false
},
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "NY",
"license": "40826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.