Organization Active NPI

Premier Orthopedic Surgery and Sports Medicine, PLLC

  • Orthopaedic Surgery Physician
  • Melville, NY
National Provider Identifier
1144557596
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PREMIER ORTHOPEDIC SURGERY AND SPORTS MEDICINE, PLLC
Practice address
1800 Walt Whitman Rd
Melville, NY 11747-3099
Phone
(631) 231-0300
Fax
(631) 231-3331
NPI assigned
Nov 5, 2009
Last updated
Nov 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Dr. Eric A Putterman, MDNPI 1326066598
Title
MD
Phone
(631) 231-0300

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
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

1800 Walt Whitman Rd
Melville, NY 11747-3099

Mailing address

1800 Walt Whitman Rd
Suite 120
Melville, NY 11747-3099
Phone (631) 231-0300

National Provider Directory

National Provider Directory

Locations

1800 Walt Whitman Rd
Melville, NY 11747
Phone (631) 694-0005

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": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1144557596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WALT WHITMAN RD",
            "address_2": "SUITE 120",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473099",
            "telephone_number": "631-231-0300",
            "fax_number": "631-231-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WALT WHITMAN RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473099",
            "telephone_number": "631-231-0300",
            "fax_number": "631-231-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHOPEDIC SURGERY AND SPORTS MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "PUTTERMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-231-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

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