Adirondack Orthopedic & Sports Medicine PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

204678 Issued in NY

Legal business name

ADIRONDACK ORTHOPEDIC & SPORTS MEDICINE PC

Practice address

1228 Old Ford Cir
New Paltz, NY 12561-2663

Phone

(315) 212-2862

NPI assigned

Oct 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Donald W Henline, M.D.

Title

Physician

Phone

(315) 265-6494

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1265683726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 OLD FORD CIR",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125612663",
            "telephone_number": "315-212-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 OLD FORD CIR",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125612663",
            "telephone_number": "315-212-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK ORTHOPEDIC & SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "HENLINE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "315-265-6494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "204678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in New Paltz, NY
• Providers in New Paltz, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.