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NPI Code Detail

MEDICARE: DR. JONATHAN OSTER M.D.

MEDICARE: DR. JONATHAN OSTER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician202690NY
2207L00000XAnesthesiology PhysicianMD429643PA
3207L00000XAnesthesiology PhysicianD0062243MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326044272
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN OSTER M.D.
Provider Business Mailing Address
First Line : 3998 FAIR RIDGE DR
Second Line : SUITE 300
City : FAIRFAX
State : VA
Zip : 22033-2921
Country : US
Telephone Number : 703-295-9360
Fax Number : 703-766-9725
Provider Business Practice Location Address
First Line : 270 PARK AVE
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-2787
Country : US
Telephone Number : 631-351-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 04/13/2015

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