STACEY OSBOURNE NPI 1588136303

NPI Information

NPI: 1588136303
Provider Name: STACEY OSBOURNE
Classification: Clinic/Center - 261QA0006X
Specialization: Ambulatory Fertility Facility
Entity Type: Individual
Address: 24311 147TH AVE
ROSEDALE, NY
ZIP 11422
Phone: (718) 470-2940

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NPI Details

Stacey Osbourne is an ambulatory fertility facility clinic center in Rosedale, NY. The provider is a fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO) Stacey Osbourne NPI is 1588136303. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

24311 147TH AVE
ROSEDALE, NY
ZIP 11422-417
Phone: (718) 470-2940

The enumeration date for this NPI number is 12/18/2018 and was last updated on 12/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	NEW YORK	No
2	261QA3000X	Clinic/Center	Augmentative Communication	NEW YORK	No
3	261QD1600X	Clinic/Center	Developmental Disabilities		No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	NEW YORK	No
5	261QA0006X	Clinic/Center	Ambulatory Fertility Facility		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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