NPIMap

Organization Active NPI

Somers Orthopaedic Surgery & Sports Med Group PLLC

  • Specialist
  • Mount Kisco, NY
National Provider Identifier
1083891998
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SOMERS ORTHOPAEDIC SURGERY & SPORTS MED GROUP PLLC
Practice address
657 E Main St Ste 3
Mount Kisco, NY 10549-3424
Phone
(914) 666-5550
Fax
(914) 241-4206
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Joel Buchalter, MDNPI 1134142714
Title
Owner/President
Phone
(845) 278-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NY Primary

Addresses

Primary practice location

657 E Main St Ste 3
Mount Kisco, NY 10549-3424

Mailing address

664 Stoneleigh Ave
Suite 300
Carmel, NY 10512-3940
Phone (845) 278-8400

Other identifiers 1

IdentifierTypeStateIssuer
DA1251OtherNYMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930058737 NY DME Supplier - Multi-Specialty - Physician 9638061674 Practice locations: Mount Kisco, NY

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2018194Somers Orthopaedic Surgery and Sports Medicine657 E Main St Ste 3, Mount Kisco, NY 10549Certificate of waiverDec 27, 2026

National Provider Directory

National Provider Directory
Tax ID family
Somers Orthopaedic Surgery Sports Med Group PLLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1083891998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 STONELEIGH AVE",
            "address_2": "SUITE 300",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123940",
            "telephone_number": "845-278-8400",
            "fax_number": "845-278-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 E MAIN ST STE 3",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493424",
            "telephone_number": "914-666-5550",
            "fax_number": "914-241-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERS ORTHOPAEDIC SURGERY & SPORTS MED GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "BUCHALTER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "845-278-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DA1251",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.