Organization Active NPI

Somers Orthopaedic Surgery and Sports Medicine Group PLLC

  • Specialist
  • Middletown, NY
National Provider Identifier
1205120482
Registry record updated Jun 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SOMERS ORTHOPAEDIC SURGERY AND SPORTS MEDICINE GROUP PLLC
Practice address
75 Crystal Run Rd
Suite 135
Middletown, NY 10941-7000
Phone
(845) 278-8400
Fax
(845) 278-4321
NPI assigned
Jun 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2011

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

Authorized official

Name
Dr. Joel S Buchalter, MD
Title
Managing Partner
Phone
(845) 278-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

75 Crystal Run Rd
Suite 135
Middletown, NY 10941-7000

Mailing address

664 Stoneleigh Ave
Suite 300
Carmel, NY 10512-3940
Phone (845) 278-8400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040325001391 NY Part B Supplier - Clinic/Group Practice 9638061674 Receives reassigned benefits from 38 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fishkill, NY; Newburgh, NY; Mount Kisco, NY; Carmel, NY; Brewster, NY

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20311/brand/2/csg/21/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1307232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307232000000",
    "number": "1205120482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 STONELEIGH AVE",
            "address_2": "SUITE 300",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123940",
            "telephone_number": "845-278-8400",
            "fax_number": "845-278-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN RD",
            "address_2": "SUITE 135",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417000",
            "telephone_number": "845-278-8400",
            "fax_number": "845-278-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERS ORTHOPAEDIC SURGERY AND SPORTS MEDICINE GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-05",
        "last_updated": "2011-06-05",
        "status": "A",
        "authorized_official_last_name": "BUCHALTER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "845-278-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2011; 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.