Active Sports Medicine & Orthopaedic Surgery PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

201193 Issued in NY

Legal business name

ACTIVE SPORTS MEDICINE & ORTHOPAEDIC SURGERY PC

Practice address

757 Lincoln Blvd
Long Beach, NY 11561-2355

Phone

(516) 432-8800

Fax

(516) 432-8801

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Benjamin S Uh, M.D.

Title

Officer

Phone

(516) 432-8800

Specialties & licenses 1

Addresses

Other names 1

• Active Orthopaedics Doing business as

Locations

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1477579332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 LINCOLN BLVD",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612355",
            "telephone_number": "516-432-8800",
            "fax_number": "516-432-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 LINCOLN BLVD",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612355",
            "telephone_number": "516-432-8800",
            "fax_number": "516-432-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE SPORTS MEDICINE & ORTHOPAEDIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "UH",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "516-432-8800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "201193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthopaedic Surgery Physician in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.