Organization Active NPI

Orthopedic Surgery and Sports Medicine of New York, PLLC

  • Orthopaedic Surgery Physician
  • Yonkers, NY
National Provider Identifier
1144716374
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPEDIC SURGERY AND SPORTS MEDICINE OF NEW YORK, PLLC
Practice address
984 N Broadway Ste 306
Yonkers, NY 10701-1308
Phone
(917) 727-7646
Fax
(914) 612-7883
NPI assigned
Jul 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Vishal A. Mehta, DO
Title
Founding Partner
Phone
(914) 369-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

984 N Broadway Ste 306
Yonkers, NY 10701-1308

Mailing address

1088 N Broadway FL 1
Yonkers, NY 10701-1107
Phone (917) 727-7646

Other practice location 1

1088 N Broadway Fl 1
Yonkers, NY 10701-1107
Phone (917) 727-7646

Other practice location 2

967 N Broadway
Yonkers, NY 10701-1301
Phone (917) 727-7646

Other practice location 3

3050 Corlear Ave Ste 201
Bronx, NY 10463-5181
Phone (917) 727-7646

Other practice location 4

127 S Broadway
Yonkers, NY 10701-4006
Phone (917) 727-7646

Other practice location 5

128 Ashford Ave
Dobbs Ferry, NY 10522-1924
Phone (917) 727-7646

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNY

National Provider Directory

National Provider Directory

Locations

1088 Bdway
Yonkers, NY 10701
Phone (917) 727-7646

1088 N Broadway
#1
Yonkers, NY 10701
Phone (914) 233-9716

1088 N Broadway
Yonkers, NY 10701
Phone (914) 964-4965

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1144716374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 N BROADWAY FL 1",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011107",
            "telephone_number": "917-727-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 N BROADWAY STE 306",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011308",
            "telephone_number": "917-727-7646",
            "fax_number": "914-612-7883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1088 N Broadway Fl 1",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107011107",
            "country_code": "US",
            "telephone_number": "917-727-7646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "967 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107011301",
            "country_code": "US",
            "telephone_number": "917-727-7646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3050 Corlear Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104635181",
            "country_code": "US",
            "telephone_number": "917-727-7646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107014006",
            "country_code": "US",
            "telephone_number": "917-727-7646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 Ashford Ave",
            "address_purpose": "LOCATION",
            "city": "Dobbs Ferry",
            "state": "NY",
            "postal_code": "105221924",
            "country_code": "US",
            "telephone_number": "917-727-7646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHOPEDIC SURGERY AND SPORTS MEDICINE OF NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "FOUNDING PARTNER",
        "authorized_official_telephone_number": "914-369-1700",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.