Organization Active NPI

Arne K. Pedersen, MD, LLC

  • Orthopaedic Surgery Physician
  • New Hartford, NY
National Provider Identifier
1225084338
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
172267 Issued in NY
Legal business name
ARNE K. PEDERSEN, MD, LLC
Practice address
1 Mill St
New Hartford, NY 13413-2652
Phone
(315) 724-5900
Fax
(315) 724-0489
NPI assigned
May 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Arne K Pedersen, M.D.
Title
Owner
Phone
(315) 724-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 172267 NY Primary

Addresses

Primary practice location

1 Mill St
New Hartford, NY 13413-2652

Mailing address

1 Mill St
New Hartford, NY 13413-2652
Phone (315) 724-5900

Other identifiers 1

IdentifierTypeStateIssuer
01075061MedicaidNY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225084338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MILL ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132652",
            "telephone_number": "315-724-5900",
            "fax_number": "315-724-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MILL ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132652",
            "telephone_number": "315-724-5900",
            "fax_number": "315-724-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARNE K. PEDERSEN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEDERSEN",
        "authorized_official_first_name": "ARNE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-724-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "172267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01075061",
            "state": "NY"
        }
    ],
    "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 Aug 22, 2020; 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.