NPIMap

Organization Active NPI

South Island Orthopedics, P.C.

  • Orthopaedic Surgery Physician
  • Cedarhurst, NY
National Provider Identifier
1194377465
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SOUTH ISLAND ORTHOPEDICS, P.C.
Practice address
657 Central Ave
Cedarhurst, NY 11516-2320
Phone
(516) 295-0111
NPI assigned
Jul 16, 2019
Last updated
Jul 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Eric Freeman, MDNPI 1306817515
Title
Owner
Phone
(516) 295-0111

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X

Addresses

Primary practice location

657 Central Ave
Cedarhurst, NY 11516-2320

Mailing address

50 Charles Lindbergh Blvd Ste 103
Uniondale, NY 11553-3654
Phone (516) 294-4590

Other practice location 1

205 Froehlich Farm Blvd
Woodbury, NY 11797-2931
Phone (516) 364-0070

Other practice location 2

2000 N Village Ave Ste 311
Rockville Centre, NY 11570-1001
Phone (516) 295-0111

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL http://www.msrconcierge.com
Other URL www.msrconcierge.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190925002663 NY Part B Supplier - Clinic/Group Practice 7315277860 Receives reassigned benefits from 21 practitioners
Practice locations: Lynbrook, NY; Melville, NY; Mineola, NY; New Hyde Park, NY; Oceanside, NY; Plainview, NY; Rego Park, NY; Rockaway Park, NY…

National Provider Directory

National Provider Directory

Locations

610 Central Ave
Cedarhurst, NY 11516
Phone (516) 537-5500

675 Central Ave
Cedarhurst, NY 11516

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1194377465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CHARLES LINDBERGH BLVD STE 103",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115533654",
            "telephone_number": "516-294-4590",
            "fax_number": "978-313-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 CENTRAL AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162320",
            "telephone_number": "516-295-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Froehlich Farm Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NY",
            "postal_code": "117972931",
            "country_code": "US",
            "telephone_number": "516-364-0070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 N Village Ave Ste 311",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115701001",
            "country_code": "US",
            "telephone_number": "516-295-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH ISLAND ORTHOPEDICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2021-07-22",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-295-0111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.msrconcierge.com",
            "affiliation": "N",
            "address_1": "675 Central Ave",
            "city": "Cedarhurst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115162309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.msrconcierge.com",
            "affiliation": "N",
            "address_1": "205 Froehlich Farm Blvd",
            "city": "Woodbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117972931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.