NPIMap

Organization Active NPI

Cavallo Orthopedics and Sports Medicine LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Rye Brook, NY
National Provider Identifier
1063779858
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
196211 Issued in NY
Legal business name
CAVALLO ORTHOPEDICS AND SPORTS MEDICINE LLC
Practice address
90 S Ridge St
Suite Ul-1
Rye Brook, NY 10573-2867
Phone
(914) 481-4444
Fax
(914) 481-4600
NPI assigned
Apr 18, 2012
Last updated
May 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Russell Cavallo, MDNPI 1023011327
Title
Owner
Phone
(914) 481-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 196211 NY Primary

Addresses

Primary practice location

90 S Ridge St
Suite Ul-1
Rye Brook, NY 10573-2867

Mailing address

90 S Ridge St
Suite Ul-1
Rye Brook, NY 10573-2867
Phone (914) 481-4444

National Provider Directory

National Provider Directory

Locations

90 S Ridge St
Ste UL-1
Rye Brook, NY 10573
Phone (914) 481-4444

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1063779858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 S RIDGE ST",
            "address_2": "SUITE UL-1",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732867",
            "telephone_number": "914-481-4444",
            "fax_number": "914-481-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S RIDGE ST",
            "address_2": "SUITE UL-1",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732867",
            "telephone_number": "914-481-4444",
            "fax_number": "914-481-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVALLO ORTHOPEDICS AND SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "CAVALLO",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-481-4444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "196211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.