Orthopaedics Spine and Sports Medicine, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

216303 Issued in NY

Legal business name

ORTHOPAEDICS SPINE AND SPORTS MEDICINE, LLC

Practice address

2103 Deer Park Ave
Deer Park, NY 11729-1317

Phone

(516) 795-3033

Fax

(516) 795-3036

NPI assigned

Apr 21, 2017

Organization subpart

No

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

Authorized official

Name

Roseann Lewis

Title

Practice Manager

Phone

(516) 795-3033

Specialties & licenses 1

Addresses

Other names 1

• Total Orthopaedics & Sports Medicine Doing business as

Locations

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366977951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MERRICK RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586231",
            "telephone_number": "516-795-3033",
            "fax_number": "516-795-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291317",
            "telephone_number": "516-795-3033",
            "fax_number": "516-795-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDICS SPINE AND SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ROSEANN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "516-795-3033"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "216303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Orthopaedics & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward Henry Olley, LCSW-R
• Optical Shop of Deer Park Inc
• Optyx LLC
• Graciela S Orihuela-Romaine
• Sanford Orloff, RPH
• Ximena Osorio
• Owhen'S Box Inc.
• Folasade D Oyeleye, LMSW
• Senol Oztimurlenk, RN
• Thomas Steven Page, M.S.P.T.

• Durable Medical Equipment & Medical Supplies in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.