Active NPI
Artisan Sports Medicine PC
- Interventional Pain Medicine Physician
- New York, NY
National Provider Identifier
1396868402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- ARTISAN SPORTS MEDICINE PC
- Practice address
- 888 Park Ave Ofc 1D
New York, NY 10075-0282 - Phone
- (888) 577-7263
- Fax
- (718) 362-1651
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kristina Didonato
- Title
- Practice Manager
- Phone
- (845) 996-8171
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary | ||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
888 Park Ave Ofc 1D
New York, NY 10075-0282
Mailing address
612 Corporate Way Ste 2M
Valley Cottage, NY 10989-2027
Phone (845) 996-8171
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780358400000",
"number": "1396868402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 CORPORATE WAY STE 2M",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109892027",
"telephone_number": "845-996-8171",
"fax_number": "718-362-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 PARK AVE OFC 1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750282",
"telephone_number": "888-577-7263",
"fax_number": "718-362-1651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARTISAN SPORTS MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A",
"authorized_official_last_name": "DIDONATO",
"authorized_official_first_name": "KRISTINA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "845-996-8171",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"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 Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.