Active NPI
Somers Orthopaedic Surgery and Sports Medicine Group PLLC
- Specialist
- Middletown, NY
National Provider Identifier
1205120482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Specialist
- Pawling, NY
- NPI 1194022962
O20040325001391
-
- Specialist
- Fishkill, NY
- NPI 1437455847
O20040325001391
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Carmel, NY
- NPI 1720028384
O20040325001391
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.