Organization Active NPI

Central New York Orthopedics LLP

  • Orthopaedic Surgery Physician
  • New Hartford, NY
National Provider Identifier
1184284580
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CENTRAL NEW YORK ORTHOPEDICS LLP
Practice address
4401 Middle Settlement Rd Ste 102
New Hartford, NY 13413-5332
Phone
(315) 735-4496
NPI assigned
Jun 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Andrew Wickline
Title
MD
Phone
(315) 735-4496

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

4401 Middle Settlement Rd Ste 102
New Hartford, NY 13413-5332

Mailing address

4401 Middle Settlement Rd Ste 102
New Hartford, NY 13413-5332
Phone (315) 735-4496

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1184284580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 MIDDLE SETTLEMENT RD STE 102",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134135332",
            "telephone_number": "315-735-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 MIDDLE SETTLEMENT RD STE 102",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134135332",
            "telephone_number": "315-735-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEW YORK ORTHOPEDICS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "WICKLINE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "315-735-4496"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.