Active NPI
Northeast Orthopedics and Sports Medicine PLLC
- Durable Medical Equipment & Medical Supplies
- New Windsor, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- NORTHEAST ORTHOPEDICS AND SPORTS MEDICINE PLLC
- Practice address
- 575 Hudson Valley Ave
New Windsor, NY 12553-4747 - Phone
- (845) 359-1877
- Fax
- (845) 359-2499
- NPI assigned
- Mar 3, 2014
- Last updated
- Mar 3, 2014
- 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
- Jordan A Simon, MD
- Title
- Owner
- Phone
- (845) 359-1877
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NY | Primary |
Addresses
Primary practice location
575 Hudson Valley Ave
New Windsor, NY 12553-4747
Mailing address
575 Hudson Valley Ave
New Windsor, NY 12553-4747
Phone (845) 359-1877
National Provider Directory
National Provider Directory- Tax ID family
- Northeast Orthopedics and Sports Medicine PLLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Orangeburg, NY
- NPI 1871902544
-
- Durable Medical Equipment & Medical Supplies
- Briarcliff Manor, NY
- NPI 1134544992
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.
-
- Orthopaedic Surgery Physician
- Orangeburg, NY
- NPI 1225005572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393804800000",
"number": "1538584396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 HUDSON VALLEY AVE",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "125534747",
"telephone_number": "845-359-1877",
"fax_number": "845-359-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 HUDSON VALLEY AVE",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "125534747",
"telephone_number": "845-359-1877",
"fax_number": "845-359-2499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST ORTHOPEDICS AND SPORTS MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-03",
"last_updated": "2014-03-03",
"status": "A",
"authorized_official_last_name": "SIMON",
"authorized_official_first_name": "JORDAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-359-1877",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Windsor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.