Organization Active NPI

Rockland Orthopedics and Sports Medicine PC

  • Specialist
  • Airmont, NY
National Provider Identifier
1346257979
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
213531 Issued in NY
Legal business name
ROCKLAND ORTHOPEDICS AND SPORTS MEDICINE PC
Practice address
327 Route 59
Colonial Square
Airmont, NY 10952-3420
Phone
(845) 356-2900
Fax
(845) 356-7797
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Elysia M
Title
Reception/Credentialing
Phone
(845) 356-2900

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 179160 NY
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 213531 NY Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 086369 NY
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 160306 NY
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 187591 NY
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 202294 NY
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 235899 NY

Addresses

Primary practice location

327 Route 59
Colonial Square
Airmont, NY 10952-3420

Mailing address

327 Route 59
Colonial Square
Airmont, NY 10952-3420
Phone (845) 356-2900

Other identifiers 3

IdentifierTypeStateIssuer
CA9479OtherNYRAILROAD MEDICARE GROUP #
0475172OtherNYAETNA HMO GROUP #
8459449OtherNYAETNA PPO GROUP#

National Provider Directory

National Provider Directory

Locations

18 College Rd
Monsey, NY 10952
Phone (845) 356-1900

Practitioners & affiliated clinicians

Practitioners 10

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1346257979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 ROUTE 59",
            "address_2": "COLONIAL SQUARE",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109523420",
            "telephone_number": "845-356-2900",
            "fax_number": "845-356-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 ROUTE 59",
            "address_2": "COLONIAL SQUARE",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109523420",
            "telephone_number": "845-356-2900",
            "fax_number": "845-356-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKLAND ORTHOPEDICS AND SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "M",
        "authorized_official_first_name": "ELYSIA",
        "authorized_official_title_or_position": "RECEPTION/CREDENTIALING",
        "authorized_official_telephone_number": "845-356-2900"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "179160",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "213531",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "086369",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "160306",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "187591",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "202294",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "235899",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "CA9479",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO GROUP #",
            "identifier": "0475172",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO GROUP#",
            "identifier": "8459449",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Airmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.