Atlantic Sports Medicine

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

0190041 Issued in NY

Legal business name

ATLANTIC SPORTS MEDICINE

Practice address

2428 Ocean Ave
Brooklyn, NY 11229-3509

Phone

(718) 934-7770

Fax

(718) 934-8038

NPI assigned

Aug 17, 2009

Last updated

Aug 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pushp Bhansali, MD

Title

President

Phone

(718) 934-7770

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pushpa R Bhansali, M.D.

  • Orthopaedic Surgery Physician
  • Brooklyn, NY
  • NPI 1093741506
  NPD (past)

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1356573851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293509",
            "telephone_number": "718-934-7770",
            "fax_number": "718-934-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293509",
            "telephone_number": "718-934-7770",
            "fax_number": "718-934-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "BHANSALI",
        "authorized_official_first_name": "PUSHP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-934-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "0190041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlantic Radiology Imaging PC
• Atlantic Radiology, PC
• Atlantic Rehab Physical Therapy PC
• Atlantic RX Inc.
• Atlantic RX Inc.
• Atlantic Surgical Supply Corp
• Atlantic Terminal Dental, P.C.
• Atlantic Urgent Care, PC
• Atlantic W Medical Care Pines PLLC
• Atlantic W Medical Care PLLC

• Physical Medicine & Rehabilitation Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.