NPIMap

Organization Active NPI

Northeast Orthopedics and Sports Medicine PLLC

  • Durable Medical Equipment & Medical Supplies
  • Briarcliff Manor, NY
National Provider Identifier
1134544992
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NORTHEAST ORTHOPEDICS AND SPORTS MEDICINE PLLC
Practice address
160 N State Rd
Briarcliff Manor, NY 10510-1403
Phone
(914) 941-7200
Fax
(914) 762-1843
NPI assigned
Mar 3, 2014
Last updated
Mar 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Jordan A Simon, MDNPI 1225005572
Title
Owner
Phone
(845) 359-1877

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
Durable Medical Equipment & Medical Supplies 332B00000X NY Primary

Addresses

Primary practice location

160 N State Rd
Briarcliff Manor, NY 10510-1403

Mailing address

160 N State Rd
Briarcliff Manor, NY 10510-1403
Phone (914) 941-7200

National Provider Directory

National Provider Directory
Tax ID family
Northeast Orthopedics and Sports Medicine PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

160 N State Rd
Briarcliff Manor, NY 10510
Phone (914) 762-3821

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": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1134544992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N STATE RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101403",
            "telephone_number": "914-941-7200",
            "fax_number": "914-762-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N STATE RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101403",
            "telephone_number": "914-941-7200",
            "fax_number": "914-762-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ORTHOPEDICS AND SPORTS MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-359-1877",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarcliff Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.