Active NPI
Orthopedic Surgery and Sports Medicine of New York, PLLC
- Orthopaedic Surgery Physician
- Yonkers, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.