Individual provider Active NPI

Michael David Metrione, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • New York, NY
National Provider Identifier
1639674559
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
323556 Issued in NY
Practice address
130 E 77TH St FL 11
New York, NY 10075-1851
Phone
(212) 434-2710
Fax
(212) 434-2268
NPI assigned
Mar 25, 2018
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 323556 NY Primary

Addresses

Primary practice location

130 E 77TH St FL 11
New York, NY 10075-1851

Mailing address

5 Catherine CT
Hillsdale, NJ 07642-2645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240801001211 NJ Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 7012454671 Reassigns benefits to 1 organization
I20260224004502 PA Practitioner - Orthopedic Surgery 7012454671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians
Sprains, Strains and Fractures, LLCGroup PAC ID 5496806606, 8 clinicians
Phoenixville Orthopedic Specialists LLCGroup PAC ID 8123271640, 11 clinicians

Practice addresses (Care Compare)

201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703

2090 Springdale Rd
Suite C
Cherry Hill, NJ 08003-2024
Phone (856) 751-5100

420 W Linfield Trappe Rd
Suite 2000
Limerick, PA 19468-4296
Phone (610) 525-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
323556NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pottstown Clinic Company LLC CurrentSince Mar 20, 2026 Accepting new patients
Sprains, Strains & Fractures, LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

2090 Springdale Rd
Ste C
Cherry Hill, NJ 08003
Phone (856) 751-5100

807 N Haddon Ave
Ste 1
Haddonfield, NJ 08033
Phone (856) 330-6260

556 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 256-7620

1597 Medical Dr
#2
Pottstown, PA 19464
Phone (610) 327-7770

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1639674559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CATHERINE CT",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076422645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751851",
            "telephone_number": "212-434-2710",
            "fax_number": "212-434-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METRIONE",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-25",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "323556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.