Organization Active NPI

Catskill Orange Orthopaedics,PC

  • Orthopaedic Surgery Physician
  • Goshen, NY
National Provider Identifier
1396787941
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CATSKILL ORANGE ORTHOPAEDICS,PC
Doing business as
CATSKILL ORANGE PHYSICAL THERAPY
Practice address
30 Hatfield LN
Suite 201
Goshen, NY 10924-6766
Phone
(845) 294-3446
Fax
(845) 294-4171
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Bradley D Wiener, MD
Title
Managing Partner
Phone
(845) 692-6224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

30 Hatfield LN
Suite 201
Goshen, NY 10924-6766

Mailing address

75 Crystal Run Rd
Suite 135
Middletown, NY 10941-7000
Phone (845) 692-6224

Other identifiers 1

IdentifierTypeStateIssuer
02709933MedicaidNY

Other names 1

  • CATSKILL ORANGE PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Catskill Orange Orthopaedicspc2 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.

Locations

30 Hatfield Ln
Ste 201
Goshen, NY 10924
Phone (845) 294-3446

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1396787941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN RD",
            "address_2": "SUITE 135",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417000",
            "telephone_number": "845-692-6224",
            "fax_number": "845-692-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HATFIELD LN",
            "address_2": "SUITE 201",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246766",
            "telephone_number": "845-294-3446",
            "fax_number": "845-294-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATSKILL ORANGE ORTHOPAEDICS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "WIENER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "845-692-6224",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02709933",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CATSKILL ORANGE PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goshen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.