Active NPI
Orthopedic Associates of 65 Penna Avenue, PC
- Orthopaedic Surgery Physician
- Binghamton, NY
National Provider Identifier
1295848273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORTHOPEDIC ASSOCIATES OF 65 PENNA AVENUE, PC
- Practice address
- 65 Pennsylvania Avenue
Binghamton, NY 13903-9999 - Phone
- (607) 723-5393
- Fax
- (607) 771-0803
- NPI assigned
- Aug 16, 2006
- 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
- Carolyn L Schuster
- Title
- Practice Administrator
- Phone
- (607) 723-5393
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Surgery of the Hand (Surgery) Physician | 2086S0105X | |||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
65 Pennsylvania Avenue
Binghamton, NY 13903-9999
Mailing address
65 Pennsylvania Avenue
Binghamton, NY 13903-9999
Phone (607) 723-5393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00979680 | Medicaid | NY |
Other names 1
- Orthopedic Associates
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Binghamton, NY
- NPI 1801904511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413849600000",
"number": "1295848273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 PENNSYLVANIA AVENUE",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139039999",
"telephone_number": "607-723-5393",
"fax_number": "607-771-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 PENNSYLVANIA AVENUE",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139039999",
"telephone_number": "607-723-5393",
"fax_number": "607-771-0803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC ASSOCIATES OF 65 PENNA AVENUE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-16",
"last_updated": "2014-10-21",
"status": "A",
"authorized_official_last_name": "SCHUSTER",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "607-723-5393"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2086S0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgery of the Hand",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00979680",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Orthopedic Associates",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.