NPIMap

Organization Active NPI

JNR Sports Medicine PC

  • Orthopaedic Surgery Physician
  • New York, NY
National Provider Identifier
1366687642
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
147983 Issued in NY
Legal business name
JNR SPORTS MEDICINE PC
Practice address
1095 Park Ave
New York, NY 10128-1154
Phone
(212) 427-7750
Fax
(212) 427-7759
NPI assigned
Dec 15, 2008
Last updated
Dec 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Authorized official

Name
Donald Rose, M.D.NPI 1639193782
Title
Sole Proprietor
Phone
(212) 427-7750

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 Physician 207X00000X 147983 NY Primary

Addresses

Primary practice location

1095 Park Ave
New York, NY 10128-1154

Mailing address

1095 Park Ave
New York, NY 10128-1154
Phone (212) 427-7750

National Provider Directory

National Provider Directory
Tax ID family
Ryc Orthopaedics PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1366687642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281154",
            "telephone_number": "212-427-7750",
            "fax_number": "212-427-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281154",
            "telephone_number": "212-427-7750",
            "fax_number": "212-427-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNR SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "212-427-7750",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "147983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.