New York Sports and Joints Orthopaedic Specialists PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

278501 Issued in NY

Legal business name

NEW YORK SPORTS AND JOINTS ORTHOPAEDIC SPECIALISTS PLLC

Practice address

6336 99TH St
Rego Park, NY 11374-1979

Phone

(718) 275-1919

NPI assigned

Jun 23, 2015

Last updated

Jun 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth McCulloch, MDNPI 1831199819

Title

Principal

Phone

(718) 275-1919

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, and the practitioner matching its NPPES authorized official.

• Kenneth McCulloch, M.D.

  • Orthopaedic Surgery Physician
  • Rego Park, NY
  • NPI 1831199819
  NPD (past) Authorized official

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1053793356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6336 99TH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6336 99TH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741979",
            "telephone_number": "718-275-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK SPORTS AND JOINTS ORTHOPAEDIC SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "MCCULLOCH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "718-275-1919",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "278501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alain Nguyen, PHARMD

• Orthopaedic Surgery Physician in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.