Clarkstown Orthopedics PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

203016 Issued in NY

Legal business name

CLARKSTOWN ORTHOPEDICS PC

Practice address

2 Crosfield Ave
Suite 422
West Nyack, NY 10994-2226

Phone

(845) 358-1000

Fax

(845) 358-2155

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark D Medici, M.D.

Title

President

Phone

(845) 358-1000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1619094927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CROSFIELD AVE",
            "address_2": "SUITE 422",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942226",
            "telephone_number": "845-358-1000",
            "fax_number": "845-358-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CROSFIELD AVE",
            "address_2": "SUITE 422",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942226",
            "telephone_number": "845-358-1000",
            "fax_number": "845-358-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSTOWN ORTHOPEDICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "MEDICI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-358-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "203016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Cheesman, MST
• Elliot Choi
• Sara Ann Christman, M.A.
• Angela America Ciampoli, C.O.T.A.
• Giovanna Ciccone
• Clarkstown Pharmacy Inc
• Kristina Clemente
• Inna Cohn, D.O.
• Kathleen Ann Colaluca-Borbon, MSED, BCBA, NYS LBA
• Suzanne Colandrea, RN

• Orthopaedic Surgery Physician in West Nyack, NY
• Providers in West Nyack, 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 Dec 16, 2010; 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.