Active NPI
Orthopedic Assoc of Long Island Physicians & Medical Group PLLC
- Durable Medical Equipment & Medical Supplies
- Riverhead, NY
National Provider Identifier
1639731243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ORTHOPEDIC ASSOC OF LONG ISLAND PHYSICIANS & MEDICAL GROUP PLLC
- Practice address
- 31 Main Rd Ste 3
Riverhead, NY 11901-1953 - Phone
- (631) 475-1224
- Fax
- (631) 475-1588
- NPI assigned
- Jul 3, 2019
- Last updated
- Jul 3, 2019
- 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
- Steven M Puopolo
- Title
- Principle Physician
- Phone
- (631) 689-6698
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 | NU | Primary |
Addresses
Primary practice location
31 Main Rd Ste 3
Riverhead, NY 11901-1953
Mailing address
PO Box 45776
Baltimore, MD 21297-5776
Phone (631) 689-6698
National Provider Directory
National Provider DirectoryPractitioners & 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.
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- East Setauket, NY
- NPI 1841398641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562112000000",
"number": "1639731243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45776",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212975776",
"telephone_number": "631-689-6698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 MAIN RD STE 3",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119011953",
"telephone_number": "631-475-1224",
"fax_number": "631-475-1588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC ASSOC OF LONG ISLAND PHYSICIANS & MEDICAL GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-03",
"last_updated": "2019-07-03",
"status": "A",
"authorized_official_last_name": "PUOPOLO",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRINCIPLE PHYSICIAN",
"authorized_official_telephone_number": "631-689-6698"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
- Open Door Mental Health Counseling P.C.
- Mary Orourke
- Kenneth Ortega
- Orthopedic Assoc of Long Island Physicians & Medical Group PLLC
- Orthopedic Assoc of Long Island Physicians & Medical Group PLLC
- Orthopedic Assoc of Long Island Physicians & Medical Group PLLC
- Orthopedic Assoc of Long Island Physicians & Medical Group PLLC
- Orthopedic Associates of Long Island, LLP
- Beverly Hannah Ortiz, M.D., F.A.C.O.G.,
- Pennie C Ortiz, CASAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.