Organization Active NPI

Upper East Orthopaedics, PC

  • Specialist
  • New York, NY
National Provider Identifier
1568848869
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
UPPER EAST ORTHOPAEDICS, PC
Practice address
315 E 83Rd St
New York, NY 10028-4301
Phone
(212) 986-9200
Fax
(212) 986-2334
NPI assigned
Aug 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Andrew Lawrence Rosen, MDNPI 1639171911
Title
Owner
Phone
(212) 986-9200

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

315 E 83Rd St
New York, NY 10028-4301

Mailing address

4349 Katonah Ave Box 301
Ntry Bank
Bronx, NY 10470-1813
Phone (845) 363-4845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160309000054 NY Part B Supplier - Clinic/Group Practice 8628374261 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: New York, NY
O20160622000439 NY DME Supplier - Physician - General Practice 8628374261 Practice locations: New York, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4349 Katonah Ave
#301
Bronx, NY 10470

315 E 83rd St
New York, NY 10028
Phone (212) 879-3700

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1568848869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4349 KATONAH AVE BOX 301",
            "address_2": "NTRY BANK",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701813",
            "telephone_number": "845-363-4845",
            "fax_number": "845-278-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E 83RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284301",
            "telephone_number": "212-986-9200",
            "fax_number": "212-986-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER EAST ORTHOPAEDICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-986-9200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.