Organization Active NPI

Metro Athletic Medicine & Fitness PC

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
National Provider Identifier
1063665602
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
METRO ATHLETIC MEDICINE & FITNESS PC
Practice address
380 2ND Ave
New York, NY 10010-5615
Phone
(212) 253-6600
Fax
(212) 253-7178
NPI assigned
Oct 28, 2008
Organization subpart
Yes
Parent organization
METRO ATHLETIC MEDICINE &FITNESS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Eudell Hayes
Title
Manager
Phone
(718) 369-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

380 2ND Ave
New York, NY 10010-5615

Mailing address

263 7TH Ave
2A
Brooklyn, NY 11215-3689
Phone (718) 369-8000

Other names 1

  • metro sports med Doing business as

National Provider Directory

National Provider Directory
Part of
Metro Sportsmed

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1063665602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 7TH AVE",
            "address_2": "2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153689",
            "telephone_number": "718-369-8000",
            "fax_number": "718-369-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105615",
            "telephone_number": "212-253-6600",
            "fax_number": "212-253-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO ATHLETIC MEDICINE & FITNESS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METRO ATHLETIC MEDICINE &FITNESS PC",
        "enumeration_date": "2008-10-28",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "EUDELL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-369-8000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "metro sports med",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.