Brooklyn Spine and Sports Medicine P.C.

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

BROOKLYN SPINE AND SPORTS MEDICINE P.C.

Practice address

415 Grand New York Street
Apt E1707
New York, NY 10002

Phone

(443) 255-5130

NPI assigned

Jul 19, 2017

Organization subpart

No

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

Authorized official

Name

Justin Mendoza, DO

Title

DO

Phone

(443) 255-5130

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1184147449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 GRAND NEW YORK STREET",
            "address_2": "APT E1707",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 GRAND NEW YORK STREET",
            "address_2": "APT E1707",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10002",
            "telephone_number": "443-255-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN SPINE AND SPORTS MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "443-255-5130",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Haskell Brookler, MD
• Brooklyn Chiropractic Spine & Sports Injury PC
• Brooklyn Family Medicine Practice PC
• Brooklyn Heights Internal Medicine PLLC
• Brooklyn Minds Psychiatry, P.C.
• Frederick R Brookman, D.P.M.
• Brooks Creative Arts Therapy PLLC
• Anne L Brooks, DSW,LCSW
• Audrey L Brooks, MD
• Camilla Jane Brooks, L.C.S.W.

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in New York, NY
• Providers in New York, NY by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.