NPIMap

Organization Active NPI

Somers Orthopaedic Surgery & Sports Medicine Group PLLC

  • Orthopaedic Surgery Physician
  • Danbury, CT
National Provider Identifier
1427533959
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SOMERS ORTHOPAEDIC SURGERY & SPORTS MEDICINE GROUP PLLC
Practice address
40 Old Ridgebury Rd Ste 101
Danbury, CT 06810-5123
Phone
(203) 397-6872
Fax
(203) 207-0304
NPI assigned
Oct 1, 2018
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Joel Buchalter, MDNPI 1134142714
Title
Owner
Phone
(845) 230-5121

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary
Podiatrist 213E00000X NU
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Family Nurse Practitioner 363LF0000X NU

Addresses

Primary practice location

40 Old Ridgebury Rd Ste 101
Danbury, CT 06810-5123

Mailing address

40 Old Ridgebury Rd Ste 101
Danbury, CT 06810-5123
Phone (203) 397-6872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190306001161 CT Part B Supplier - Clinic/Group Practice 9638061674 Receives reassigned benefits from 32 practitioners
Practice locations: Danbury, CT
O20190610000268 CT DME Supplier - Multi-Specialty - Physician 9638061674 Practice locations: Danbury, CT

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

46 Mount Ebo Rd N
Brewster, NY 10509
Phone (201) 654-3130

664 Stoneleigh Ave
Ste 103
Carmel, NY 10512

49 Foster Rd
#D
Hopewell Junction, NY 12533
Phone (845) 227-2228

75 Crystal Run Rd
Middletown, NY 10941
Phone (845) 692-4391

657 E Main St
Ste 3
Mount Kisco, NY 10549
Phone (914) 471-4777

Practitioners & affiliated clinicians

Practitioners 46

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.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1427533959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 OLD RIDGEBURY RD STE 101",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105123",
            "telephone_number": "203-397-6872",
            "fax_number": "203-207-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 OLD RIDGEBURY RD STE 101",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105123",
            "telephone_number": "203-397-6872",
            "fax_number": "203-207-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERS ORTHOPAEDIC SURGERY & SPORTS MEDICINE GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "BUCHALTER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-230-5121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.