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Deactivated NPI 1689671117 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Edward Osborn , MD

Pediatrics • Albany, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Osborn has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 30, 2005
NPI Deactivation Date April 17, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Osborn, MD was a registered Pediatrics practicing in Albany, NY. Throughout an active medical career spanning 20 years, Dr. Osborn provided care at the practice location at 1092 MADISON AVE until profile deactivation on 2025-04-17.

Practice Location & Contact Primary Location

Practice Address

1092 Madison Ave
St. Peter's Heath Care For Children

Albany, NY 122082248

Telephone 5185252445
Fax 5184757069
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Albany, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.3 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
52 Specialists

Practicing in Albany, NY (6127 Statewide)

Telehealth Adoption Rate
1.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 173400

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1003804360

Doctor of Medicine (M.D.)

NPI 1023015559

Doctor of Medicine (M.D.)

Logan Carpenter , PNP

Nurse Practitioner - Pediatrics

NPI 1073302758

Pediatric Nurse Practitioner

Janet Tiberia , PNP

Nurse Practitioner - Pediatrics

NPI 1679512396

Pediatric Nurse Practitioner

NPI 1962409409

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated April 17, 2025

Record deactivated on April 17, 2025

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Updated Practice Location October 30, 2023

Registered at 400 PATROON CREEK BLVD STE 200, ALBANY, NY 122065015 (Tel: 5185252445)

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Updated Business Mailing Address June 18, 2020

Registered at PO BOX 14890, ALBANY, NY 122124890 (Tel: 5185255634)

NPI Profile Active October 08, 2008

NPI status registered as active in NPPES database

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Updated Practice Location October 08, 2008

Registered at 1092 MADISON AVE, ST. PETER'S HEATH CARE FOR CHILDREN, ALBANY, NY 122082248 (Tel: 5185252445)

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Updated Business Mailing Address October 08, 2008

Registered at PO BOX 8424, INSURANCE CREDENTIALING, ALBANY, NY 122080424 (Tel: 5185252445)

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Provider Name / Credentials Updated October 08, 2008

Recorded as MARK OSBORN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2008

Pediatrics (License #173400 in NY)

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Initial NPI Registration & Enumeration June 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689671117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2005
Last Update: October 08, 2008
Deactivation Date: April 17, 2025

Mailing Address

Po Box 8424, Insurance Credentialing

Albany, NY 122080424

Phone: 5185252445

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.