Organization Active NPI

Manhattan Neuromusculoskeletal Medicine & Osteopathy, PLLC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • New York, NY
National Provider Identifier
1174275085
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
Legal business name
MANHATTAN NEUROMUSCULOSKELETAL MEDICINE & OSTEOPATHY, PLLC
Practice address
440 E 62ND St Apt 1B
New York, NY 10065-8345
Phone
(646) 988-3431
Fax
(646) 767-0395
NPI assigned
Jan 21, 2022
Last updated
May 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Gary L Ostrow, DONPI 1164644589
Title
President
Phone
(212) 635-4242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X Primary

Addresses

Primary practice location

440 E 62ND St Apt 1B
New York, NY 10065-8345

Mailing address

440 E 62ND St Apt 1B
New York, NY 10065-8345
Phone (212) 635-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220418001099 NY Part B Supplier - Clinic/Group Practice 2668869868 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

440 E 62nd St
Apt 1B
New York, NY 10065
Phone (212) 635-4242

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": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1174275085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E 62ND ST APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658345",
            "telephone_number": "212-635-4242",
            "fax_number": "646-767-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E 62ND ST APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658345",
            "telephone_number": "646-988-3431",
            "fax_number": "646-767-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN NEUROMUSCULOSKELETAL MEDICINE & OSTEOPATHY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "OSTROW",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-635-4242",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.