Organization Active NPI

Active Sports Medicine & Orthopaedic Surgery PC

Doing business as Active Orthopaedics

  • Orthopaedic Surgery Physician
  • Long Beach, NY
National Provider Identifier
1477579332
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
201193 Issued in NY
Legal business name
ACTIVE SPORTS MEDICINE & ORTHOPAEDIC SURGERY PC
Doing business as
Active Orthopaedics
Practice address
757 Lincoln Blvd
Long Beach, NY 11561-2355
Phone
(516) 432-8800
Fax
(516) 432-8801
NPI assigned
Jul 14, 2006
Last updated
Feb 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Benjamin S Uh, M.D.NPI 1871690578
Title
Officer
Phone
(516) 432-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 201193 NY Primary

Addresses

Primary practice location

757 Lincoln Blvd
Long Beach, NY 11561-2355

Mailing address

757 Lincoln Blvd
Long Beach, NY 11561-2355
Phone (516) 432-8800

Other names 1

  • Active Orthopaedics Doing business as

National Provider Directory

National Provider Directory

Locations

9412 59th Ave
#E5
Flushing, NY 11373
Phone (718) 619-8480

757 Lincoln Blvd
Long Beach, NY 11561
Phone (516) 379-1495

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Long Beach, NY

Sources for this page

  • 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.