Organization Active NPI

Cmors Group LLC

  • Sports Medicine (Family Medicine) Physician
  • Bronx, NY
National Provider Identifier
1124081815
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
210513 Issued in NY
Legal business name
CMORS GROUP LLC
Practice address
3235 Grand Concourse
Suite-Basement
Bronx, NY 10468-1138
Phone
(718) 367-8800
Fax
(718) 367-4047
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sylvia Linsalato
Title
Credentialing Manager
Phone
(718) 367-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X 210513 NY Primary

Addresses

Primary practice location

3235 Grand Concourse
Suite-Basement
Bronx, NY 10468-1138

Mailing address

3235 Grand Concourse
Suite-Basement
Bronx, NY 10468-1138
Phone (718) 367-8800

Other identifiers 3

IdentifierTypeStateIssuer
028117OtherNYLICENSE NUMBER
210513OtherNYLICENSE NUMBER
021579OtherNYLICENSE #

National Provider Directory

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": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124081815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 GRAND CONCOURSE",
            "address_2": "SUITE-BASEMENT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681138",
            "telephone_number": "718-367-8800",
            "fax_number": "718-367-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 GRAND CONCOURSE",
            "address_2": "SUITE-BASEMENT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681138",
            "telephone_number": "718-367-8800",
            "fax_number": "718-367-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMORS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINSALATO",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "718-367-8800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "210513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "028117",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "210513",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "021579",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.