Queens Arthroscopy & Sports Medicine

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

153779 Issued in NY

Legal business name

QUEENS ARTHROSCOPY & SPORTS MEDICINE

Practice address

6254 97TH PL
Rego Park, NY 11374-1346

Phone

(718) 271-7700

Fax

(718) 271-4490

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Laxmidhar Diwan, MDNPI 1386726552

Title

Owner

Phone

(718) 271-7700

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laxmidhar Diwan, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Rego Park, NY
  • NPI 1386726552
  NPD (past) Authorized official

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457554768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 54 97TH PLACE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-271-7700",
            "fax_number": "718-271-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6254 97TH PL",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741346",
            "telephone_number": "718-271-7700",
            "fax_number": "718-271-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS ARTHROSCOPY & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIWAN",
        "authorized_official_first_name": "LAXMIDHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-271-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "153779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Orthopaedic Surgery) Physician in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.