The Sports Medical Zone PLLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

THE SPORTS MEDICAL ZONE PLLC

Practice address

60 College Ave
Nanuet, NY 10954-3010

Phone

(845) 579-2700

NPI assigned

Mar 31, 2020

Organization subpart

No

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

Authorized official

Name

McKirven Ceus, MDNPI 1295154730

Title

Owner

Phone

(845) 405-5311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• McKirven Ceus, MD

  • Sports Medicine (Family Medicine) Physician
  • Nanuet, NY
  • NPI 1295154730
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1154959427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COLLEGE AVE",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543010",
            "telephone_number": "845-579-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 COLLEGE AVE",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543010",
            "telephone_number": "845-579-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPORTS MEDICAL ZONE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "CEUS",
        "authorized_official_first_name": "MCKIRVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-405-5311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Family Medicine) Physician in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Sports Medicine (Family Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.