Sports Medicine Specialist P.C.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

SPORTS MEDICINE SPECIALIST P.C.

Practice address

1578 Williamsbridge Rd # 3D
Bronx, NY 10461-6265

Phone

(347) 418-6618

NPI assigned

Apr 20, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Romulo Vasquez, MDNPI 1164867347

Title

Ceo

Phone

(347) 418-6618

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Romulo V Vasquez, MD

  • Family Medicine Physician
  • Stamford, CT
  • NPI 1164867347

  Sports Medicine

  NPD Authorized official

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1023638012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 83RD ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113702007",
            "telephone_number": "347-418-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 WILLIAMSBRIDGE RD # 3D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104616265",
            "telephone_number": "347-418-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MEDICINE SPECIALIST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "ROMULO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-418-6618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Spoljaric
• Luke Richard Sponholz, M.D.
• Carlton Ivor Spooner Sr., LPN
• Kedeshia Tamala Spooner, LMSW
• Spore Test Inc
• Matthew E Spotnitz, M.D.
• Spots
• Sprainspine Paincare LLC
• Seymour Sprayregen, MD
• Spree Trucking Service

• Sports Medicine (Family Medicine) Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Sports Medicine (Family Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.