NPIMap

Organization Active NPI

Able Orthopedic and Sports Medicine P.C.

  • Orthopaedic Surgery Physician
  • Forest Hill, NY
National Provider Identifier
1265638696
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
184765 Issued in NY
Legal business name
ABLE ORTHOPEDIC AND SPORTS MEDICINE P.C.
Practice address
7655 Austin Street
Forest Hill, NY 11375
Phone
(718) 897-2228
Fax
(718) 897-2251
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Mr. Mehran Manouel, M.D.NPI 1942272547
Title
President
Phone
(718) 897-2228

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 184765 NY Primary

Addresses

Primary practice location

7655 Austin Street
Forest Hill, NY 11375

Mailing address

PO Box 230406
Great Neck, NY 11023-0406
Phone (718) 897-2228

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041206001228 NY Part B Supplier - Clinic/Group Practice 6800852369 Receives reassigned benefits from 2 practitioners
Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1265638696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230406",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110230406",
            "telephone_number": "718-897-2228",
            "fax_number": "718-897-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7655 AUSTIN STREET",
            "city": "FOREST HILL",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-897-2228",
            "fax_number": "718-897-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABLE ORTHOPEDIC AND SPORTS MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "MANOUEL",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-897-2228",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "184765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.