Organization Active NPI

Robert L. Cristofaro, MD and John M Nelson, MD,PC

  • Orthopaedic Surgery Physician
  • Purchase, NY
National Provider Identifier
1043498447
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
150073 Issued in NY
Legal business name
ROBERT L. CRISTOFARO, MD AND JOHN M NELSON, MD,PC
Practice address
3010 Westchester Ave
Suite 104
Purchase, NY 10577-2524
Phone
(914) 967-8708
Fax
(914) 967-5834
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Authorized official

Name
Dr. Robert Louis Cristofaro, M.D.
Title
President
Phone
(914) 967-8708

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 112796 NY
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 150073 NY
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X 150073 NY Primary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X 112796 NY
Pediatric Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XP3100X 150073 NY
Pediatric Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XP3100X 112796 NY
Pediatric Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XP3100X 028526 CT
Pediatric Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XP3100X 028357 CT

Addresses

Primary practice location

3010 Westchester Ave
Suite 104
Purchase, NY 10577-2524

Mailing address

3010 Westchester Ave
Suite 104
Purchase, NY 10577-2524
Phone (914) 967-8708

Other identifiers 2

IdentifierTypeStateIssuer
00347411MedicaidNY
00970338MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1043498447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 WESTCHESTER AVE",
            "address_2": "SUITE 104",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772524",
            "telephone_number": "914-967-8708",
            "fax_number": "914-967-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 WESTCHESTER AVE",
            "address_2": "SUITE 104",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772524",
            "telephone_number": "914-967-8708",
            "fax_number": "914-967-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. CRISTOFARO, MD AND JOHN M NELSON, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "CRISTOFARO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-967-8708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "112796",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "150073",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "150073",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "112796",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NY",
            "license": "150073",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NY",
            "license": "112796",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "CT",
            "license": "028526",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "CT",
            "license": "028357",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00347411",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00970338",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Purchase, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.